Michelle Trudell, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087718 Issued in MI

Legal business name

MICHELLE TRUDELL, PLLC

Practice address

4771 2 Mile Rd
Suite a
Bay City, MI 48706-2775

Phone

(989) 778-2323

Fax

(989) 778-2322

NPI assigned

Aug 19, 2016

Last updated

Aug 19, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Michelle A Trudell, LMSW, CAADCNPI 1114967783

Title

Owner

Phone

(989) 574-5122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Trudell, LMSW

  • Social Worker
  • Bay City, MI
  • NPI 1114967783
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1053866095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4771 2 MILE RD",
            "address_2": "SUITE A",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062775",
            "telephone_number": "989-778-2323",
            "fax_number": "989-778-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4771 2 MILE RD",
            "address_2": "SUITE A",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062775",
            "telephone_number": "989-778-2323",
            "fax_number": "989-778-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE TRUDELL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "TRUDELL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-574-5122",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mi Pelvic Health, L.L.C.
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• Michael E. Learman, D.D.S., P.L.C.
• Michael E. Learman, D.D.S., P.L.C.
• Michael J Harpham
• Michigan Behavioral Health Institute
• Michigan Psychiatric & Behavioral Assoc
• Michigan Psyciatric & Behavioral Associates (Mpba)
• Michigan Psyciatric & Behavioral Associates PC
• Mid Michigan Family Medicine and Health Care Services PLLC

• Clinical Social Worker in Bay City, MI
• Providers in Bay City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.