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MACOMB FAMILY SERVICES INC NPI 1326599036


NPI Information

NPI: 1326599036
Provider Name: MACOMB FAMILY SERVICES, INC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
36975 UTICA RD
SUITE 104
CLINTON TOWNSHIP, MI
ZIP 48036
Phone: (586) 226-3440
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MACOMB FAMILY SERVICES, INC is a clinical social worker in Clinton Township, 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. MACOMB FAMILY SERVICES, INC NPI is 1326599036. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

36975 UTICA RD
SUITE 104
CLINTON TOWNSHIP, MI
ZIP 48036-685
Phone: (586) 226-3440
Fax: (586) 226-3740

The provider's authorized official is Carrie Kuptz .
The authorized official title is Billing Supervisor and has the following contact phone number (586) 226-3440.

The enumeration date for this NPI number is 10/18/2016 and was last updated on 10/18/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103TC0700XPsychologistClinicalNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
52084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
61041C0700XSocial 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M10460MEDICARE PINMICHIGAN
2M10270MEDICARE PINMICHIGAN

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: 5/5/2024

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