Individual provider · Type 1 NPI

Michael Anthony Evola, MSW

Clinical Social Worker · Buffalo, NY

NPI number 1104887231 Active

Practice location

406 Linwood Ave
Buffalo, NY 14209-1629

Fax (716) 886-7398

Mailing address

17 Willowlawn St
Buffalo, NY 14214-2328

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR027964-1 (NY)

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 1104887231

Michael Anthony Evola, MSW's National Provider Identifier is 1104887231, issued on Mar 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Buffalo, NY. The record was last updated on Jul 8, 2007.