Individual provider · Type 1 NPI

Thomas Overly, LLMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1881091635 Active

Practice location

1618 Leonard St NE
Grand Rapids, MI 49505-6438

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL260765 (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 1881091635

Thomas Overly, LLMSW's National Provider Identifier is 1881091635, issued on Nov 21, 2014. 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 Nov 21, 2014.