Individual provider · Type 1 NPI
Kacie Danielle Berthelot, LMSW
Clinical Social Worker · Traverse City, MI
Practice location
2240 W South Airport Rd., Suite B
Traverse City, MI 49684
Fax (231) 943-1032
Mailing address
2601 N Cresthaven Ave Apt F107
Springfield, MO 65803-7719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6801103431 (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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- Robert Anthony Fernandez, LMSWClinical Social Worker Traverse City, MI NPI 1013443522
- Melanie Sue Lutz, LMSWClinical Social Worker Traverse City, MI NPI 1023669918
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About NPI 1265917686
Kacie Danielle Berthelot, LMSW's National Provider Identifier is 1265917686, issued on Oct 2, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Traverse City, MI. The record was last updated on Oct 15, 2026.