Individual provider · Type 1 NPI

Mary Carol Misulich, LCSW

Clinical Social Worker · Maryville, TN

NPI number 1700852506 Active

Practice location

262 Cherokee Professional Park
Maryville, TN 37804-5153

Fax (865) 681-1789

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLSW0000003452 (TN)

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 1700852506

Mary Carol Misulich, LCSW's National Provider Identifier is 1700852506, issued on Feb 23, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maryville, TN. The record was last updated on Feb 26, 2008.