Individual provider · Type 1 NPI

Michael James Polichetti, MSW, LISW

Clinical Social Worker · Niles, OH

NPI number 1578092359 Active

Practice location

165 E Park Ave
Niles, OH 44446-2352

Fax (330) 544-9379

Mailing address

230 Heritage Ln
Cortland, OH 44410-1118

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.2002052-SUPV (OH)

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 1578092359

Michael James Polichetti, MSW, LISW's National Provider Identifier is 1578092359, issued on Jun 6, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Niles, OH. The record was last updated on Jun 5, 2024.