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MLD SUPERVISION & THERAPY, LLC
NPI 1396553459
Social Worker - Clinical in Gaylord, MI

Active since December 20, 2024
127 W STEWART ST, GAYLORD, MI 49735(989) 217-8219 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mld Supervision & Therapy, Llc NPPES

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

MLD SUPERVISION & THERAPY, LLC (NPI 1396553459) is a healthcare organization registered as a clinical in Gaylord, Michigan and active in the NPI registry since December 2024. The organization lists Marissa Lynn Luck-damer, Owner/mental Health Professional, as its authorized official.

NPPES Registry Identity

NPI1396553459
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMLD SUPERVISION & THERAPY, LLC
Location Address127 W STEWART STGaylord, MI 49735-1539
Mailing Address127 W Stewart StGaylord, MI 49735-1539 · (989) 217-8219
Phone(989) 217-8219
Organization SubpartNo
Authorized OfficialMarissa Lynn Luck-damerOwner/mental Health Professional · (989) 217-8219
Enumeration DateDecember 20, 2024
NPPES CertifiedDecember 20, 2024
✔ NPI 1396553459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
127 W STEWART ST, Gaylord, MI 49735
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mld Supervision & Therapy, LLC's NPI number?

The NPI number for Mld Supervision & Therapy, LLC is 1396553459. It was assigned to this organization in the NPPES registry on December 20, 2024.

Where is Mld Supervision & Therapy, LLC located?

Mld Supervision & Therapy, LLC is located at 127 W Stewart St, Gaylord, MI 49735. The listed phone number is (989) 217-8219.

What is Mld Supervision & Therapy, LLC'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 Mld Supervision & Therapy, LLC was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.