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

Edward Komph Jr., LLMSW

Individual provider Clinical Social Worker · NPI 1245165091

Edward Komph Jr., LLMSW is a Clinical Social Worker in Marysville, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

1124 Gratiot Blvd
Marysville, MI 48040-1133
Phone: (810) 824-4318
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 6851121955 (MI)

Record details

NPI number1245165091
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address54652 Arrow Wood Ln, New Baltimore, MI 48047-6305

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