Individual provider · Type 1 NPI

Martha Pettijohn Anderson, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1851050686 Active

Practice location

3215 Eagle Crest Dr NE
Grand Rapids, MI 49525-7005

Call (616) 456-5664 Map

Mailing address

1087 Fernridge Ave SE
Grand Rapids, MI 49546-3876

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801091266 (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 1851050686

Martha Pettijohn Anderson, LMSW's National Provider Identifier is 1851050686, issued on Dec 9, 2021. 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 Dec 9, 2021.