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OPEN DOOR COUNSELING CENTER NPI 1295239416


NPI Information

NPI: 1295239416
Provider Name: OPEN DOOR COUNSELING CENTER
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
42627 GARFIELD RD STE 217
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (248) 210-5018
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OPEN DOOR COUNSELING CENTER 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. OPEN DOOR COUNSELING CENTER NPI is 1295239416. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

42627 GARFIELD RD STE 217
CLINTON TOWNSHIP, MI
ZIP 48038-032
Phone: (248) 210-5018

The provider's authorized official is Carol S Agnew .
The authorized official title is Owner and has the following contact phone number (586) 203-2715.

The enumeration date for this NPI number is 3/21/2018 and was last updated on 9/7/2022.


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
1101YM0800XCounselorMental Health6401013449MICHIGANNo
2101YP2500XCounselorProfessionalNo
31041C0700XSocial WorkerClinical6801089393MICHIGANNo
4106H00000XMarriage & Family Therapist4101006139MICHIGANNo
5106H00000XMarriage & Family TherapistNo
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
1VS0041365MEDICAIDMICHIGAN

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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