Individual provider · Type 1 NPI

Micayla M. Selissen, LCSW

Clinical Social Worker · De Pere, WI

NPI number 1316689565 Active

Practice location

1325 Angels Path
De Pere, WI 54115-4050

Call (920) 338-2855 Map

Fax (920) 338-9270

Mailing address

PO Box 22040
Green Bay, WI 54305-2040

Other practice locations

  • 4635 W College Ave, Appleton, WI 54914-8507 · (920) 750-7000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11174-123 (WI)
Social Worker 104100000X132403 (WI)

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 1316689565

Micayla M. Selissen, LCSW's National Provider Identifier is 1316689565, issued on Apr 8, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in De Pere, WI. The record was last updated on Sep 27, 2024.