Beyond Focused

Clinical Social Worker · Detroit, MI

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At a glance

5575 Conner St Ste 201, Detroit, MI 48213-6401

NPPES record updated Jan 23, 2019. Public records can lag behind changes at a practice.

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Practice location

5575 Conner St Ste 201
Detroit, MI 48213-6401

Professional details: NPI, taxonomy & registry record

NPI1861956807

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Registry details

Primary taxonomy: Clinical Social Worker
Taxonomy code: 1041C0700X
Enumeration date: Jan 23, 2019
Record updated: Jan 23, 2019

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

104100000X

Clinical Social Worker

1041C0700X · Primary

Registered Nurse

163W00000X

Specialty details in registry

163WP0808X

Specialty details in registry

163WP0809X

Specialty details in registry

363LP0808X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5575 Conner St Ste 201
Detroit, MI 48213-6401

Phone: (313) 671-7712

Mailing address

5575 CONNER ST STE 201

DETROIT, MI 482136401

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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