Individual provider · Type 1 NPI

Jacalyn Sue Lasich, MSW

Clinical Social Worker · Traverse City, MI

NPI number 1487909396 Active

Practice location

217 S Madison Street
Traverse City, MI 49684-2320

Call (231) 392-8400 Map

Fax (231) 935-7888

Mailing address

1414 W Fair Ave, Ste 332
Marquette, MI 49855-5407

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801089753 (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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About NPI 1487909396

Jacalyn Sue Lasich, MSW's National Provider Identifier is 1487909396, issued on Jul 17, 2012. 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 Jul 21, 2022.