Individual provider · Type 1 NPI

Michael Izzo, LCSW, LAC

Clinical Social Worker · Appleton, WI

NPI number 1356621072 Active

Practice location

4000 W Spencer St
Appleton, WI 54914-4015

Fax (920) 735-9050

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X15586132 (WI)
Clinical Social Worker Primary 1041C0700X7762123 (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 1356621072

Michael Izzo, LCSW, LAC's National Provider Identifier is 1356621072, issued on Aug 25, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Appleton, WI. The record was last updated on Aug 25, 2011.