Individual provider · Type 1 NPI

Michelle Elise Kistler, LCSW

Clinical Social Worker · Gulf Breeze, FL

NPI number 1538833652 Active

Practice location

69 Bay Bridge Dr
Gulf Breeze, FL 32561-4468

Mailing address

8121 Ackerman Dr Apt D
Pensacola, FL 32514-3881

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X18680 (FL)

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 1538833652

Michelle Elise Kistler, LCSW's National Provider Identifier is 1538833652, issued on Aug 3, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gulf Breeze, FL. The record was last updated on Aug 3, 2021.