Individual provider · Type 1 NPI

Michael Anthony Bacallao, LMSW, LCSW

Clinical Social Worker · Clovis, CA

NPI number 1922516889 Active

Practice location

382 N Mckelvy Ave Apt 202
Clovis, CA 93611-2410

Call (732) 425-5851 Map

Mailing address

64S Manor Cres
New Brunswick, NJ 08901-1645

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X44SC06183100 (NJ)
Clinical Social Worker Primary 1041C0700X115700 (CA)

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 1922516889

Michael Anthony Bacallao, LMSW, LCSW's National Provider Identifier is 1922516889, issued on Jan 12, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clovis, CA. The record was last updated on Jul 6, 2023.