Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JEROME BAUSANO, SOCIAL WORKER
Active Sole ProprietorMICHAEL JEROME BAUSANO, SOCIAL WORKER is a Clinical Social Worker healthcare provider located in CANADIAN LAKES, Michigan. NPI 1255877965 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CANADIAN LAKES, MI
Registration Details
- NPI Number
- 1255877965
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2017 (9.5247291580889 yrs)
- Last Updated
- Apr 23, 2019
- License
-
6801069870 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6713 SUNSET LNCANADIAN LAKES, MI, 493468832Browse MI providers · Browse ZIP 49346
- Phone
- 2315980894
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.