MISCHONVIER TALLEY
NPI 1902501273
Social Worker - Clinical in Detroit, MI

Q: What is Mischonvier Talley's NPI number?

The NPI number for Mischonvier Talley is 1902501273. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Mischonvier Talley's specialty?

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

Active since April 04, 2023

6309 MACK AVE, DETROIT, MI 48207(888) 813-8326 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2025, Apr 4, 2023 (2 updates tracked since 2023).

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About Mischonvier Talley NPPES

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

MISCHONVIER TALLEY (NPI 1902501273) is an individual clinical provider in Detroit, Michigan and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1902501273

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMISCHONVIER TALLEY

Location Address6309 MACK AVEDetroit, MI 48207-2302

Mailing Address17582 Violet DrSouthfield, MI 48076-2097 · (202) 938-4099

Phone(888) 813-8326

Sole ProprietorYes

Enumeration DateApril 4, 2023

Last NPPES UpdateJune 16, 20252 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1902501273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCommunity Health WorkerTaxonomy 172V00000X

6309 MACK AVE, Detroit, MI 48207

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANASTASIA C JIMERSON

Social Worker (Clinical)