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

Vicki Denise Bohannon, LBSW

Individual provider Clinical Social Worker · NPI 1073973731

Vicki Denise Bohannon, LBSW is a Clinical Social Worker in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

100 River Place Dr Ste 250
Detroit, MI 48207-5402
Phone: (313) 871-2337
Fax: (313) 871-6655
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 6802084084 (MI)

Record details

NPI number1073973731
Entity typeIndividual (Type 1)
GenderFemale
Credentials LBSW
Sole proprietorNo
NPI enumeratedFebruary 24, 2016
Last updated in NPPESFebruary 24, 2016

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