Individual provider · Type 1 NPI

Michael David Close, LMSW

Clinical Social Worker · Liverpool, NY

NPI number 1104972322 Active

Practice location

990 7th North St
Liverpool, NY 13088-3148

Fax (315) 634-1122

Mailing address

107 Dale St
Syracuse, NY 13208-2325

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1104972322

Michael David Close, LMSW's National Provider Identifier is 1104972322, issued on Jan 29, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Liverpool, NY. The record was last updated on Jul 8, 2007.