Individual provider · Type 1 NPI

Michal Herridge Rusk, LCSW MSW BA

Clinical Social Worker · Riverhead, NY

NPI number 1265567010 Active

Practice location

223 Roanoak Ave
Riverhead, NY 11901

Fax (631) 727-9255

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR 0564041 (NY)

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 1265567010

Michal Herridge Rusk, LCSW MSW BA's National Provider Identifier is 1265567010, issued on Feb 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverhead, NY. The record was last updated on Jul 8, 2007.