Active NPIIndividual providerSole proprietor

Michelle Michalkovic, LCSW-R

Social Worker, Clinical in Manchester Center, Vermont

NPI Number1427178714
Practice location
274 Green Mountain RD, Manchester Center, VT 05255-9560
Fax
—
Last updated
November 24, 2020

Michelle Michalkovic is a Social Worker, Clinical based in Manchester Center, VT. Michelle Michalkovic practices in Manchester Center, VT and has the professional credentials of LCSW-R. The NPI Number for Michelle Michalkovic is 1427178714 and holds a License No. R058049-1 (NY). The current practice location address for Michelle Michalkovic is 274 Green Mountain RD, Manchester Center, VT 05255-9560 and can be reached out via phone at 802-558-9433.

Provider Profile Details

NPI Number
1427178714
Provider Name
Michelle Michalkovic
Credential
LCSW-R
Provider Entity Type
Individual
Gender
Female
Address
274 Green Mountain RD, Manchester Center, VT 05255-9560
Phone Number
802-558-9433
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 30, 2007
Last Update Date
November 24, 2020
Certification Date
November 24, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
274 Green Mountain RD
Manchester Center, VT 05255-9560
State
Vermont
Zip
05255-9560
Phone Number
802-558-9433
Manchester Center, VT 05255Get directions →

Provider Business Mailing Address Details

Address
107 Colonial Dr
New Hartford, NY 13413-2106
City
New Hartford
State
NY
Zip
13413-2106

License Information

License Number (1)
R058049-1
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
0890134158
License State (2)
VT
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · 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 Michelle Michalkovic, LCSW-R?

The NPI number of Michelle Michalkovic, LCSW-R is 1427178714. It was assigned on March 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Michelle Michalkovic, LCSW-R?

Michelle Michalkovic, LCSW-R is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number R058049-1.

Where does Michelle Michalkovic, LCSW-R practice?

The practice location is 274 Green Mountain RD, Manchester Center, VT 05255-9560. The office can be reached at 802-558-9433 (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 1427178714 directly on the NPPES registry website.

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