Organization · Type 2 NPI

D A Blodgett-St Johns

Clinical Social Worker · Grand Rapids, MI

NPI number 1801929435 Active

Practice location

2172 Dean Lake Ave NE
Grand Rapids, MI 49505-4444

Call (616) 451-2021 Map

Fax (616) 774-3842

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	CB410201088 (MI)

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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NPI record

NPI: 1801929435
Entity type: Organization (Type 2)
Issued: Mar 13, 2007
Last updated: Apr 26, 2023
Status: Active

Other names

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D.a. Blodgett for Children · doing business as
D.a. Blodgett for Children · doing business as

Authorized official

Mrs. Tammy Smith
Director of Finance
(616) 451-2021

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About NPI 1801929435

D A Blodgett-St Johns's National Provider Identifier is 1801929435, issued on Mar 13, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 26, 2023.