Debbie M. Edokpolo, LLMSW

Individual provider Active NPI Clinical Social Worker · Holt, MI

NPI 1770415580 · NPPES record last updated Jun 3, 2026

Key facts

NPI
1770415580
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6851121462 (MI)
Practice address
4040 Pheasant Run
Holt, MI 48842-8772
Phone
(517) 819-1777
NPI assigned
Jun 3, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6851121462MIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851121462 MI Yes

Addresses

Primary practice location

4040 Pheasant Run
Holt, MI 48842-8772

Mailing address

4040 Pheasant Run
Holt, MI 48842-8772
Phone (517) 819-1777

Other providers in Holt, MI

All providers in Holt, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.