Individual provider · Type 1 NPI

Michael George Till, PhD, LCSW

Clinical Social Worker · Independence, MO

NPI number 1528218328 Active

Practice location

17844 E 23rd St S
Independence, MO 64057-1840

Fax (816) 254-9243

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X2008004864 (MO)
Clinical Social Worker Primary 1041C0700X2007033658 (MO)

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 1528218328

Michael George Till, PhD, LCSW's National Provider Identifier is 1528218328, issued on Sep 29, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Independence, MO. The record was last updated on Jul 8, 2014.