Individual provider · Type 1 NPI
Michael Alvin Bergondo, MSW
Clinical Social Worker · La Junta, CO
Practice location
1100 Carson Ave, Suite 104
La Junta, CO 81050-2751
Mailing address
2135 Fowler St
Canon City, CO 81212-3927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 992947 (CO) |
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 1629320239
Michael Alvin Bergondo, MSW's National Provider Identifier is 1629320239, issued on Oct 5, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in La Junta, CO. The record was last updated on Oct 5, 2012.