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

Telicia Patrick

Individual provider Clinical Social Worker · NPI 1255008470

Telicia Patrick is a Clinical Social Worker in East Lansing, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

411 W Lake Lansing Rd Ste C125
East Lansing, MI 48823-8485
Phone: (517) 215-5217
Fax: (517) 338-8022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6851110150 (MI)

Record details

NPI number1255008470
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 25, 2021
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address411 W Lake Lansing Rd Ste C125, East Lansing, MI 48823-8485

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