Individual provider · Type 1 NPI

Thao Thi Phan, LMSW-C

Clinical Social Worker · St. Clair Shores, MI

NPI number 1972241487 Active

Practice location

23100 Jefferson Ave
St. Clair Shores, MI 48080-2756

Call (586) 335-2006 Map

Mailing address

2146 Peachtree Ct
West Bloomfield, MI 48324-1464

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801114403 (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 1972241487

Thao Thi Phan, LMSW-C's National Provider Identifier is 1972241487, issued on May 24, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jan 22, 2024.