Individual provider · Type 1 NPI

Mark Halvorsen

Clinical Social Worker · St. Ignace, MI

NPI number 1730469008 Active

Practice location

114 W Elliott St
St. Ignace, MI 49781-1868

Call (906) 643-8616 Map

Fax (906) 643-7194

Mailing address

125 N Lake St
Manistique, MI 49854-1234

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801058066 (MI)

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 1730469008

Mark Halvorsen's National Provider Identifier is 1730469008, issued on Aug 18, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Ignace, MI. The record was last updated on Aug 18, 2011.