Individual provider · Type 1 NPI

Michelle Shore

Clinical Social Worker · Bangor, ME

NPI number 1053714824 Active

Practice location

444 Stillwater Ave, Suite 204
Bangor, ME 04401-3521

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	MC15065 (ME)

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…

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About NPI 1053714824

Michelle Shore's National Provider Identifier is 1053714824, issued on Oct 7, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bangor, ME. The record was last updated on Oct 7, 2014.