Active NPIIndividual providerSole proprietor

Judith H Mickenberg, LICSW

Counselor, Mental Health in Hinsdale, Massachusetts

NPI Number1346052362
Practice location
45 Forest Hill Dr, Hinsdale, MA 01235-3503
Fax
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Last updated
January 25, 2025

Judith H Mickenberg is a Counselor, Mental Health based in Hinsdale, MA. Judith H Mickenberg practices in Hinsdale, MA and has the professional credentials of LICSW. The NPI Number for Judith H Mickenberg is 1346052362 and holds a License No. 111876 (MA). The current practice location address for Judith H Mickenberg is 45 Forest Hill Dr, Hinsdale, MA 01235-3503 and can be reached out via phone at 508-250-5754.

Provider Profile Details

NPI Number
1346052362
Provider Name
Judith H Mickenberg
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
45 Forest Hill Dr, Hinsdale, MA 01235-3503
Phone Number
508-250-5754
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Other Names
Judith Hope Engle, BSW, MSW (Former Name)
Provider Enumeration Date
January 25, 2025
Last Update Date
January 25, 2025
Certification Date
January 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Forest Hill Dr
Hinsdale, MA 01235-3503
Zip
01235-3503
Phone Number
508-250-5754
Hinsdale, MA 01235Get directions →

Provider Business Mailing Address Details

Address
45 Forest Hill Dr
Hinsdale, MA 01235-3503
City
Hinsdale
State
MA
Zip
01235-3503
Phone Number
508-250-5754

License Information

License Number
111876
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Judith H Mickenberg, LICSW?

The NPI number of Judith H Mickenberg, LICSW is 1346052362. It was assigned on January 25, 2025 and is currently active in the NPPES registry.

What is the specialty of Judith H Mickenberg, LICSW?

Judith H Mickenberg, LICSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 111876.

Where does Judith H Mickenberg, LICSW practice?

The practice location is 45 Forest Hill Dr, Hinsdale, MA 01235-3503. The office can be reached at 508-250-5754 (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 1346052362 directly on the NPPES registry website.

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