Individual provider · Type 1 NPI

Nicole Runyon, LMSW

Clinical Social Worker · Grosse Pointe Farms, MI

NPI number 1831223197 Active

Practice location

63 Kercheval Ave Ste 14
Grosse Pointe Farms, MI 48236-3656

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801085894 (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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About NPI 1831223197

Nicole Runyon, LMSW's National Provider Identifier is 1831223197, issued on Mar 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grosse Pointe Farms, MI. The record was last updated on Nov 21, 2022.