Individual provider · Type 1 NPI
Marie Annette Basty, LICENSED CLINICAL SO
Clinical Social Worker · Hayward, WI
Practice location
Lac Courte Oreilles Community Health Center, 13380 W Trepania Road
Hayward, WI 54843
Mailing address
13380 W Trepania Road
Hayward, WI 54843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 127176 (WI) |
| Clinical Social Worker Primary | 1041C0700X | 7686-123 (WI) |
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 1992912422
Marie Annette Basty, LICENSED CLINICAL SO's National Provider Identifier is 1992912422, issued on May 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hayward, WI. The record was last updated on Mar 13, 2022.