Individual provider · Type 1 NPI

Domonique Stevens, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1972060895 Active

Practice location

790 Fuller Ave NE
Grand Rapids, MI 49503-1918

Call (616) 336-3909 Map

Fax (616) 336-8830

Other practice locations

  • 717 N Center Dr NW, Walker, MI 49544-8215 · (616) 248-5201
  • 805 Leonard St NE, Grand Rapids, MI 49503-1138 · (616) 451-2021

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Social Worker 104100000X6802090535 (MI)
Social Worker 104100000X6851115039 (MI)
Behavior Technician 106S00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X6801119569 (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 1972060895

Domonique Stevens, LMSW's National Provider Identifier is 1972060895, issued on Feb 27, 2019. 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 Dec 31, 2024.