Individual provider · Type 1 NPI

Michael Stuart Immerman, MSW

Clinical Social Worker · San Mateo, CA

NPI number 1174703367 Active

Practice location

177 Bovet Rd, Suite 540
San Mateo, CA 94402-3116

Fax (650) 341-9680

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS14796 (CA)

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 1174703367

Michael Stuart Immerman, MSW's National Provider Identifier is 1174703367, issued on Nov 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Mateo, CA. The record was last updated on Nov 6, 2007.