Individual provider · Type 1 NPI
Michael Jerome Bausano, SOCIAL WORKER
Clinical Social Worker · Canadian Lakes, MI
Practice location
6713 Sunset Ln
Canadian Lakes, MI 49346-8832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6801069870 (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…
About NPI 1255877965
Michael Jerome Bausano, SOCIAL WORKER's National Provider Identifier is 1255877965, issued on Jan 19, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Canadian Lakes, MI. The record was last updated on Apr 23, 2019.