JENNIFER NIDETZ LMSW
NPI 1255722088
Social Worker - Clinical in South Lyon, MI

Active since February 16, 2015
23015 CHEYENNE DR, SOUTH LYON, MI 48178(734) 846-8297 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Nidetz Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER NIDETZ LMSW (NPI 1255722088) is an individual clinical provider in South Lyon, Michigan, licensed in Michigan (6801097243) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1255722088
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER NIDETZCredential: LMSW
Location Address23015 CHEYENNE DRSouth Lyon, MI 48178
Mailing Address23015 Cheyenne DrSouth Lyon, MI 48178 · (734) 846-8297
Sole ProprietorYes
Enumeration DateFebruary 16, 2015
NPI 1255722088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MI · 6801097243 Licensed in IL · 149015759
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
23015 CHEYENNE DR, South Lyon, MI 48178

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Nidetz's NPI number?

The NPI number for Jennifer Nidetz is 1255722088. It was assigned to this individual provider in the NPPES registry on February 16, 2015.

Where is Jennifer Nidetz located?

Jennifer Nidetz practices at 23015 Cheyenne Dr, South Lyon, MI 48178. The listed phone number is (734) 846-8297.

What is Jennifer Nidetz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Nidetz was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.