Individual provider · Type 1 NPI

Michelle D. Pistole, LCSW

Clinical Social Worker · Bloomfield, NM

NPI number 1790066165 Active

Practice location

100 N Church St Ste B
Bloomfield, NM 87413-5754

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSWB-2025-0293 (NM)

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 1790066165

Michelle D. Pistole, LCSW's National Provider Identifier is 1790066165, issued on Aug 30, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomfield, NM. The record was last updated on Jun 18, 2025.