Healthcare Provider Details

I. General information

NPI: 1639098106
Provider Name (Legal Business Name): VALENTINA DUKIC LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38800 GARFIELD RD STE 100
CLINTON TWP MI
48038-6619
US

IV. Provider business mailing address

16804 KINGSBROOKE DR
CLINTON TWP MI
48038-3712
US

V. Phone/Fax

Practice location:
  • Phone: 586-455-1850
  • Fax:
Mailing address:
  • Phone: 586-275-8923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851121130
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: