Individual provider · Type 1 NPI

Michael B. Ivy, LCSW

Clinical Social Worker · Saco, ME

NPI number 1265802698 Active

Practice location

110 Main St Ste 1508
Saco, ME 04072-3517

Fax (207) 560-9860

Mailing address

50 Pine Country Dr
Buxton, ME 04093-6447

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC16866 (ME)

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 1265802698

Michael B. Ivy, LCSW's National Provider Identifier is 1265802698, issued on Sep 28, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Saco, ME. The record was last updated on Apr 28, 2022.