Individual provider · Type 1 NPI

Michael P. Basta, MSW

Clinical Social Worker · Sonoma, CA

NPI number 1720155799 Active

Practice location

793 1st St W
Sonoma, CA 95476-7036

Call (707) 935-6739 Map

Mailing address

PO Box 957
Glen Ellen, CA 95442-0957

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS12967 (CA)

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 1720155799

Michael P. Basta, MSW's National Provider Identifier is 1720155799, issued on Nov 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sonoma, CA. The record was last updated on Jul 8, 2007.