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FAMILY SERVICE OF DETROIT & WAYNE COUNTY NPI 1609908508


NPI Information

NPI: 1609908508
Provider Name: FAMILY SERVICE OF DETROIT & WAYNE COUNTY
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
19855 W. OUTER DRIVE
SUITE 104
DEARBORN, MI
ZIP 48124
Phone: (313) 274-5840
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FAMILY SERVICE OF DETROIT & WAYNE COUNTY is a clinical social worker in Dearborn, MI. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. FAMILY SERVICE OF DETROIT & WAYNE COUNTY NPI is 1609908508. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19855 W. OUTER DRIVE
SUITE 104
DEARBORN, MI
ZIP 48124-022
Phone: (313) 274-5840
Fax: (313) 274-8277

The provider's authorized official is Deborah Snyder .
The authorized official title is Executive Director and has the following contact phone number (313) 579-5989.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 10/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4104100000XSocial WorkerNo
51041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OQ26496MEDICARE UPINMICHIGAN
2OQ26496MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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