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Mr. Michael D Soukup, LMSW
Clinical Social Worker in Grand Rapids, Michigan
NPI 1629112933

Michael D Soukup is a Clinical Social Worker based in Holland, MI and is specialized in Clinical. Michael D Soukup practices in Grand Rapids, MI and has the professional credentials of LMSW. The NPI Number for Michael D Soukup is 1629112933 and holds a License No. 6801019792 (Michigan).

The current practice location address for Michael D Soukup is 40 Jefferson Ave Se, Grand Rapids, MI and can be reached out via phone at 616-356-6285 and via fax at 616-732-6392.

Location: 40 Jefferson Ave Se, Grand Rapids, MI, 49423-6741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629112933
Provider Name
Michael D Soukup
Credential
LMSW
Provider Entity Type
Individual
Gender
Male
Address
40 Jefferson Ave Se, Grand Rapids, MI, 49423-6741
Phone Number
616-356-6285
Fax Number
616-732-6392
Provider Enumeration Date
02/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7509106890 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
40 Jefferson Ave Se
City
Grand Rapids
State
Michigan
Zip
49503-4304
Phone Number
616-356-6285
Fax Number
616-732-6392
person
Provider Business Mailing Address Details
Address
40 Jefferson Ave Se
City
Grand Rapids
State
Michigan
Zip
49503-4304
Phone Number
616-356-6285
Fax Number
616-732-6392
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
6801019792 (Michigan)
Definition
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.
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