Individual provider · Type 1 NPI

Emiley Jo Eisen, LLMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1861510109 Active

Practice location

1331 Lake Dr SE
Grand Rapids, MI 49506-1674

Call (616) 459-7215 Map

Fax (616) 451-0020

Mailing address

1872 R W Berends Dr SW Apt 4
Wyoming, MI 49519-6516

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801085834 (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 1861510109

Emiley Jo Eisen, LLMSW's National Provider Identifier is 1861510109, issued on Mar 26, 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 Jul 8, 2007.