Michael E. Buck, MA, LMSW, CAC II

Individual provider Active NPI Clinical Social Worker · Vassar, MI

NPI 1972788198 · NPPES record last updated Jan 7, 2008

Key facts

NPI
1972788198
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801057221 (MI)
Practice address
150 Enterprise Dr
Vassar, MI 48768-9584
Phone
(989) 551-8617
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2-00459MIMDAddiction (Substance Use Disorder) Counselor
6801057221MIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2-00459 MI
Clinical Social Worker 1041C0700X 6801057221 MI Yes

Addresses

Primary practice location

150 Enterprise Dr
Vassar, MI 48768-9584

Mailing address

150 Enterprise Dr
Vassar, MI 48768-9584
Phone (989) 551-8617

Other providers in Vassar, MI

All providers in Vassar, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.