Individual provider · Type 1 NPI

Ida C. Michie, LCSW

Clinical Social Worker · Pensacola, FL

NPI number 1710206404 Active

Practice location

5190 Bayou Blvd, Bldg 6
Pensacola, FL 32503-2194

Call (904) 476-0977 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW 9793 (FL)
Clinical Social Worker 1041C0700XSW 347 (WY)

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 1710206404

Ida C. Michie, LCSW's National Provider Identifier is 1710206404, issued on May 20, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pensacola, FL. The record was last updated on May 20, 2010.