Individual
IVY TING PICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 HERITAGE DR STE 520, SOUTHGATE, MI 48195-3051
(734) 215-9800
Mailing address
15490 SUSAN ST, SOUTHGATE, MI 48195-2917
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801118246
MI
1041C0700X
Clinical Social Worker
6801118246
MI
Other
Enumeration date
12/20/2021
Last updated
08/20/2025
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