Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Jerome Bausano, SOCIALWORKER

Individual provider Clinical Social Worker · NPI 1255877965

Michael Jerome Bausano, SOCIALWORKER is a Clinical Social Worker in Canadian Lakes, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
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Practice location Address checks out

6713 Sunset Ln
Canadian Lakes, MI 49346-8832
Phone: (231) 598-0894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801069870 (MI)

Record details

NPI number1255877965
Entity typeIndividual (Type 1)
GenderMale
Credentials SOCIALWORKER
Sole proprietorYes
NPI enumeratedJanuary 19, 2017
Last updated in NPPESApril 23, 2019