Individual provider · Type 1 NPI

Dominique Deveraux Montgomery

Clinical Social Worker · Detroit, MI

NPI number 1922588060 Active

Practice location

570 Clinton St
Detroit, MI 48226-2334

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801099753 (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 1922588060

Dominique Deveraux Montgomery's National Provider Identifier is 1922588060, issued on Aug 17, 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 Aug 17, 2018.