Individual provider · Type 1 NPI

Michelle K. Rusboldt, LCSW

Clinical Social Worker · Two Rivers, WI

NPI number 1366817165 Active

Practice location

5300 Memorial Dr
Two Rivers, WI 54241-3923

Call (920) 793-7420 Map

Other practice locations

  • 2851 University Ave, Green Bay, WI 54311-5855 · (920) 431-2500

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X127961-121 (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 1366817165

Michelle K. Rusboldt, LCSW's National Provider Identifier is 1366817165, issued on Dec 4, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Two Rivers, WI. The record was last updated on Dec 8, 2021.