Individual provider · Type 1 NPI

Sandra L. Bates, LMSW

Clinical Social Worker · Portage, MI

NPI number 1063966331 Active

Practice location

10332 Shaver Rd
Portage, MI 49024-6744

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6801100121 (MI)
Clinical Social Worker Primary 1041C0700X6801115031 (MI)

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 1063966331

Sandra L. Bates, LMSW's National Provider Identifier is 1063966331, issued on Aug 4, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portage, MI. The record was last updated on Oct 11, 2022.