Michelle Nicole Perusse, ACSW
Social Worker, Clinical in Costa Mesa, CA. Individual provider (NPI-1).
NPI number1164073706
StatusActive
Last updated in NPPESMar 16, 2021
Details
- NPI
- 1164073706
- Entity type
- Individual (NPI-1)
- Name
- Michelle Nicole Perusse
- Credential
- ACSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2019
- Certification date
- Mar 8, 2021
- Last updated
- Mar 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | ASW97586 | CA | Yes |
Practice location
3540 Howard Way Ste 150Costa Mesa, CA 92626-1496
Phone 714-547-7559
Mailing address
Po Box 4675Covina, CA 91723-4675
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All 98 Clinical Social Worker providers in Costa Mesa · All 5,371 providers in Costa Mesa
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