Individual provider · Type 1 NPI

Michael Mickelson, LCSW

Clinical Social Worker · Cheyenne, WY

NPI number 1780928093 Active

Practice location

2360 E Pershing Blvd
Cheyenne, WY 82001-5356

Call (307) 778-7550 Map

Other practice locations

  • 1818 Went Ave Ste A, Mishawaka, IN 46545-6482 · (574) 254-0229

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW1145 (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 1780928093

Michael Mickelson, LCSW's National Provider Identifier is 1780928093, issued on Nov 27, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cheyenne, WY. The record was last updated on Apr 27, 2020.