Michelle Dudley, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

8414 Flower Ave Apt 5
Takoma Park, MD 20912-6731

Phone

(240) 601-5532

NPI assigned

Jul 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: dudley@cmhcweb.com

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1053982520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 FLOWER AVE APT 5",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126731",
            "telephone_number": "240-601-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 FLOWER AVE APT 5",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126731",
            "telephone_number": "240-601-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dudley@cmhcweb.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Balanced Living Counseling",
            "address_1": "1010 Dulaney Valley Rd",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212042702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dr David M Vieth PC (Pine Dentistry)
• Dr. Brainsole, PLLC
• Laura Drake, PA-C
• Geeta Dsouza, L.AC., M.AC.
• Lawrence H Dubester, M.D.
• Amy Dukovcic, CRNP
• E & E Health Services
• Early Health Care Giver, Inc
• Felicia Fonka Ebamu
• Ebob Eban Mildred

• Clinical Social Worker in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.