Ian M Michelin, LMSW
Counselor, Mental Health in Clark, New Jersey
1407665458- Practice location
- 60 Walnut Ave, Clark, NJ 07066-1649
- Phone
- 732-605-6029
- Fax
- —
- Last updated
- January 4, 2025
Ian Michael Michelin is a Counselor, Mental Health based in Clark, NJ. Ian Michael Michelin practices in Clark, NJ and has the professional credentials of LMSW. The NPI Number for Ian Michael Michelin is 1407665458 and holds a License No. 44SL07093400 (NJ). The current practice location address for Ian Michael Michelin is 60 Walnut Ave, Clark, NJ 07066-1649 and can be reached out via phone at 732-605-6029.
Provider Profile Details
- NPI Number
- 1407665458
- Provider Name
- Ian Michael Michelin
- Credential
- LMSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 60 Walnut Ave, Clark, NJ 07066-1649
- Phone Number
- 732-605-6029
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 4, 2025
- Last Update Date
- January 4, 2025
- Certification Date
- January 4, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 Walnut Ave
Clark, NJ 07066-1649 - City
- Clark
- State
- New Jersey
- Zip
- 07066-1649
- Phone Number
- 732-605-6029
Provider Business Mailing Address Details
- Address
- 117 Woodward Ave
Rutherford, NJ 07070-2211 - City
- Rutherford
- State
- NJ
- Zip
- 07070-2211
- Phone Number
- 551-352-2066
License Information
- License Number
- 44SL07093400
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Clark, NJ
View all Counselor, Mental Health providers in Clark →- Amanda Schindler, LACCounselor, Mental Health · NPI 1710731344
- Dr. Frank D Papandrea, PHD, MDDIV, LPCCounselor, Mental Health · NPI 1881870517
- Erika BaqueCounselor, Mental Health · NPI 1083580427
- Eurica PinthieveCounselor, Mental Health · NPI 1407453673
- Garden State Psychological Associates, LLCCounselor, Mental Health · NPI 1942701198
- Grace Space Counseling LLCCounselor, Mental Health · NPI 1851119929
Frequently Asked Questions
What is the NPI number of Ian M Michelin, LMSW?
The NPI number of Ian M Michelin, LMSW is 1407665458. It was assigned on January 4, 2025 and is currently active in the NPPES registry.
What is the specialty of Ian M Michelin, LMSW?
Ian M Michelin, LMSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 44SL07093400.
Where does Ian M Michelin, LMSW practice?
The practice location is 60 Walnut Ave, Clark, NJ 07066-1649. The office can be reached at 732-605-6029 (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 1407665458 directly on the NPPES registry website.