Individual provider · Type 1 NPI

Michael Bruce Lisman

Clinical Social Worker · Salinas, CA

NPI number 1972080166 Active

Practice location

1270 Natividad Rd
Salinas, CA 93906-3144

Mailing address

75 Shadow Mtn
Oakland, CA 94605-4616

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS15558 (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 1972080166

Michael Bruce Lisman's National Provider Identifier is 1972080166, issued on Jul 20, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salinas, CA. The record was last updated on Jul 20, 2018.