MICHELLE M. COLARUSSO, LCSW
NPI 1740779164
Social Worker - Clinical in San Marcos, CA

Q: What is Source Therapy Licensed Clinical Social Worker Services Apc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 02, 2018

1582 W SAN MARCOS BLVD STE 105, SAN MARCOS, CA 92078(760) 522-7158(760) 539-7357 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2023, Sep 10, 2021, May 2, 2018 (3 updates tracked since 2018).

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About Michelle M. Colarusso, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE M. COLARUSSO, LCSW (NPI 1740779164) is a healthcare organization registered as a clinical in San Marcos, California and active in the NPI registry since May 2018. The organization lists Carolyn Bowe-mcleod, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1740779164

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameSOURCE THERAPY LICENSED CLINICAL SOCIAL WORKER SERVICES APC

Location Address1582 W SAN MARCOS BLVD STE 105San Marcos, CA 92078-4081

Mailing Address1582 W San Marcos Blvd Ste 105San Marcos, CA 92078-4081 · (760) 522-7158 · Fax (760) 539-7357

Phone(760) 522-7158

Fax(760) 539-7357

Organization SubpartNo

Authorized OfficialCarolyn Bowe-mcleodBilling Manager · (760) 433-7944

Enumeration DateMay 2, 2018

Last NPPES UpdateFebruary 17, 20233 updates tracked since enumeration

NPPES CertifiedJune 16, 2022

✔ NPI 1740779164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 27130

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1582 W SAN MARCOS BLVD STE 105, San Marcos, CA 92078

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Other Names 1

Doing Business AsMichelle M. Colarusso, Lcsw

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Massage Therapist