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

Mary Kathryn Bicknell

Individual provider Clinical Social Worker · NPI 1295366995

Mary Kathryn Bicknell is a Clinical Social Worker in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020

Practice location Address checks out

17421 Telegraph Rd
Detroit, MI 48219-3165
Phone: (313) 531-2500
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 6801100260 (MI)

Record details

NPI number1295366995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 31, 2020
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020

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