Individual provider · Type 1 NPI

Frederic John Kolky, LMSW

Clinical Social Worker · Marquette, MI

NPI number 1164441507 Active

Practice location

200 W Spring St
Marquette, MI 49855-4630

Fax (906) 233-1235

Mailing address

2820 College Ave
Escanaba, MI 49829-9591

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801019771 (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 1164441507

Frederic John Kolky, LMSW's National Provider Identifier is 1164441507, issued on Jul 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marquette, MI. The record was last updated on Jul 8, 2007.