Individual provider · Type 1 NPI

Nicole Marie Prust, LMSW

Clinical Social Worker · Wakefield, MI

NPI number 1902317019 Active

Practice location

103 W US Highway 2
Wakefield, MI 49968-9515

Mailing address

343 W Southland Ave
Ironwood, MI 49938-1066

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X6801101923 (MI)
Clinical Social Worker Primary 1041C0700X6801110599 (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 1902317019

Nicole Marie Prust, LMSW's National Provider Identifier is 1902317019, issued on Oct 16, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wakefield, MI. The record was last updated on Jul 26, 2021.