Individual provider · Type 1 NPI
Michael A. Etheridge, LMSW
Clinical Social Worker · New York, NY
Practice location
81 Worth St
New York, NY 10013-3411
Mailing address
165 Christopher St, Apt 2BB
New York, NY 10014-2803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 062637 (NY) |
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…
2 other providers at this address
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About NPI 1376924225
Michael A. Etheridge, LMSW's National Provider Identifier is 1376924225, issued on Jun 17, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jun 17, 2015.