Individual provider · Type 1 NPI

Mischonvier Talley

Clinical Social Worker · Detroit, MI

NPI number 1902501273 Active

Practice location

6309 Mack Ave
Detroit, MI 48207-2302

Call (888) 813-8326 Map

Mailing address

17582 Violet Dr
Southfield, MI 48076-2097

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1902501273

Mischonvier Talley's National Provider Identifier is 1902501273, issued on Apr 4, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Jun 16, 2025.