Michael A Bacallao, LMSW, LCSW
Social Worker, Clinical in Clovis, California
1922516889- Practice location
- 382 N Mckelvy Ave Apt 202, Clovis, CA 93611-2410
- Phone
- 732-425-5851
- Fax
- —
- Last updated
- July 6, 2023
Michael Anthony Bacallao is a Social Worker, Clinical based in Clovis, CA. Michael Anthony Bacallao practices in Clovis, CA and has the professional credentials of LMSW, LCSW. The NPI Number for Michael Anthony Bacallao is 1922516889 and holds a License No. 44SC06183100 (NJ). The current practice location address for Michael Anthony Bacallao is 382 N Mckelvy Ave Apt 202, Clovis, CA 93611-2410 and can be reached out via phone at 732-425-5851.
Provider Profile Details
- NPI Number
- 1922516889
- Provider Name
- Michael Anthony Bacallao
- Credential
- LMSW, LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 382 N Mckelvy Ave Apt 202, Clovis, CA 93611-2410
- Phone Number
- 732-425-5851
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 12, 2018
- Last Update Date
- July 6, 2023
- Certification Date
- July 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 382 N Mckelvy Ave Apt 202
Clovis, CA 93611-2410 - City
- Clovis
- State
- California
- Zip
- 93611-2410
- Phone Number
- 732-425-5851
Provider Business Mailing Address Details
- Address
- 64S Manor Cres
New Brunswick, NJ 08901-1645 - City
- New Brunswick
- State
- NJ
- Zip
- 08901-1645
License Information
- License Number (1)
- 44SC06183100
- License State (1)
- NJ
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 115700
- License State (2)
- CA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Clovis, CA
View all Social Worker, Clinical providers in Clovis →Frequently Asked Questions
What is the NPI number of Michael A Bacallao, LMSW, LCSW?
The NPI number of Michael A Bacallao, LMSW, LCSW is 1922516889. It was assigned on January 12, 2018 and is currently active in the NPPES registry.
What is the specialty of Michael A Bacallao, LMSW, LCSW?
Michael A Bacallao, LMSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06183100.
Where does Michael A Bacallao, LMSW, LCSW practice?
The practice location is 382 N Mckelvy Ave Apt 202, Clovis, CA 93611-2410. The office can be reached at 732-425-5851 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922516889 directly on the NPPES registry website.