Organization · Type 2 NPI
Lifesource of North Carolina
Clinical Social Worker · Menominee, MI
Practice location
501 2nd St
Menominee, MI 49858-3203
Fax (888) 746-1787
Mailing address
PO Box 538622
Atlanta, GA 30353-8622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | None listed |
| Clinical Social Worker Primary | 1041C0700X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
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…
5 other providers at this address
- Menominee Care Center, LLCSkilled Nursing Facility Menominee, MI NPI 1477083442
- NSH Menominee LLCSkilled Nursing Facility Menominee, MI NPI 1275176133
- Rice Health Care Facilities IncSkilled Nursing Facility Menominee, MI NPI 1285627422
- Amanda ChampagnePhysical Therapy Assistant Menominee, MI NPI 1063084341
- Danielle CechPhysical Therapist Menominee, MI NPI 1487595609
About NPI 1649877762
Lifesource of North Carolina's National Provider Identifier is 1649877762, issued on Oct 1, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Menominee, MI. The record was last updated on Mar 25, 2021.