Individual provider · Type 1 NPI
Michelle Bundrum
Clinical Social Worker · Kenansville, FL
Practice location
1450 S Kenansville Rd
Kenansville, FL 34739-9637
Mailing address
517 Deltona Blvd Ste A
Deltona, FL 32725-8016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | SW15749 (FL) |
Clinical Social Worker: 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 interpers…
About NPI 1043679194
Michelle Bundrum's National Provider Identifier is 1043679194, issued on Feb 17, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kenansville, FL. The record was last updated on Mar 23, 2020.