Individual provider · Type 1 NPI

Carolyn Waterstradt

Clinical Social Worker · Norton Shores, MI

NPI number 1871996918 Active

Practice location

800 E Ellis Rd
Norton Shores, MI 49441-5646

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XC-02753 (MI)
Clinical Social Worker Primary 1041C0700X6801094245 (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 1871996918

Carolyn Waterstradt's National Provider Identifier is 1871996918, issued on Oct 3, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Norton Shores, MI. The record was last updated on Mar 12, 2015.