Organization · Type 2 NPI

Porters Headspace

Clinical Social Worker · Flint, MI

NPI number 1790477180 Active

Practice location

4212 Lennon Rd Ste 1
Flint, MI 48507-1080

Mailing address

PO Box 320797
Flint, MI 48532-0014

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1790477180

Porters Headspace's National Provider Identifier is 1790477180, issued on May 23, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Flint, MI. The record was last updated on Aug 28, 2023.