Individual provider · Type 1 NPI

Patricia Staller, LCSW-ACSW

Clinical Social Worker · Iron Mountain, MI

NPI number 1124063607 Active

Practice location

325 E H St
Iron Mountain, MI 49801-4760

Call (906) 774-3300 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X25995 (TX)

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 1124063607

Patricia Staller, LCSW-ACSW's National Provider Identifier is 1124063607, issued on Jun 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Iron Mountain, MI. The record was last updated on Jul 13, 2026.