Individual provider · Type 1 NPI

Christian Samuelson, LCSW

Clinical Social Worker · Detroit, MI

NPI number 1922586502 Active

Practice location

79 W Alexandrine St
Detroit, MI 48201

Call (313) 831-5535 Map

Fax (313) 831-2608

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Other practice locations

  • 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 · (317) 621-7740

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6801103121 (MI)
Clinical Social Worker Primary 1041C0700X34009442A (IN)

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 1922586502

Christian Samuelson, LCSW's National Provider Identifier is 1922586502, issued on Aug 5, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Sep 28, 2021.