Individual provider · Type 1 NPI

Staci Fealk, LMSW

Clinical Social Worker · Southfield, MI

NPI number 1992241160 Active

Practice location

15700 W 10 Mile Rd, Suite 213
Southfield, MI 48075-2149

Mailing address

1701 Spruce Dr
Commerce Township, MI 48390-4311

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801086443 (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 1992241160

Staci Fealk, LMSW's National Provider Identifier is 1992241160, issued on Jan 12, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southfield, MI. The record was last updated on Jan 12, 2017.