Organization · Type 2 NPI

Intentional Life Counseling & Addictions Treatment PLLC

Clinical Social Worker · Grand Rapids, MI

NPI number 1912416181 Active

Practice location

1444 Michigan St NE Ste 3
Grand Rapids, MI 49503-2028

Specialties and licenses

TaxonomyCodeLicense
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 1912416181

Intentional Life Counseling & Addictions Treatment PLLC's National Provider Identifier is 1912416181, issued on Sep 20, 2017. 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 Sep 20, 2017.