Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amallie Defonseka, LLMSW

Individual provider Clinical Social Worker · NPI 1306983119

Amallie Defonseka, LLMSW is a Clinical Social Worker in Pontiac, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

114 Orchard Lake Rd
Pontiac, MI 48341-2244
Phone: (248) 858-7766
Fax: (248) 858-7201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801086171 (MI)

Record details

NPI number1306983119
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJuly 8, 2007

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