Individual provider · Type 1 NPI

Michael Arthur Fasulo, LCSW

Clinical Social Worker · Houlton, ME

NPI number 1740497221 Active

Practice location

2 Water St, Suite 2
Houlton, ME 04730-2126

Call (207) 532-5510 Map

Fax (207) 532-5518

Mailing address

27 Maple St
Houlton, ME 04730-1826

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LC493 (ME)

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 1740497221

Michael Arthur Fasulo, LCSW's National Provider Identifier is 1740497221, issued on May 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Houlton, ME. The record was last updated on Jul 9, 2007.