Individual provider · Type 1 NPI

Michael Bukanc, LICSW

Clinical Social Worker · Burlington, VT

NPI number 1093715526 Active

Practice location

267 Pearl St, Ste 10
Burlington, VT 05401-8564

Fax (802) 658-2067

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed

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 1093715526

Michael Bukanc, LICSW's National Provider Identifier is 1093715526, issued on Jul 27, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Burlington, VT. The record was last updated on Jul 13, 2026.