Individual provider · Type 1 NPI

Maryellen Marlene Bonacci, LMSW

Clinical Social Worker · Kalkaska, MI

NPI number 1265514939 Active

Practice location

438 County Road 612 NE
Kalkaska, MI 49646-8577

Mailing address

3017 Raymo Rd SW
South Boardman, MI 49680-9438

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801087694 (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 1265514939

Maryellen Marlene Bonacci, LMSW's National Provider Identifier is 1265514939, issued on Oct 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kalkaska, MI. The record was last updated on Jul 8, 2007.