Jimmy Ivy
Jimmy Ivy is a Clinical Social Worker in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2018.
- Licensed in
- MI
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
7310 Woodward AveDetroit, MI 48202-3165
Phone: (313) 230-8504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 6801113515 (MI) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 6801102170 (MI) |
Record details
| NPI number | 1821588294 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 11, 2018 |
| Last updated in NPPES | August 3, 2022 |
| Certification date | August 3, 2022 |
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