Individual provider · Type 1 NPI
Michelle Mara Scull, LCSW
Clinical Social Worker · Bloomfield, NJ
Practice location
27 Park Pl, Apartment #6
Bloomfield, NJ 07003-3549
Mailing address
3 Theise Ter
New City, NY 10956-2827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 082992-1 (NY) |
| Clinical Social Worker Primary | 1041C0700X | 44SC05255700 (NJ) |
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 1265649057
Michelle Mara Scull, LCSW's National Provider Identifier is 1265649057, issued on May 17, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomfield, NJ. The record was last updated on May 6, 2022.