Individual provider Active NPI

Michelle M. Marchese, LICSW

  • Clinical Social Worker
  • Northampton, MA
National Provider Identifier
1124308705
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118098 Issued in MA
Practice address
94 King St
Northampton, MA 01060-3284
Phone
(508) 496-8643
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118098 MA Primary

Addresses

Primary practice location

94 King St
Northampton, MA 01060-3284

Mailing address

94 King St
Northampton, MA 01060-3284
Phone (508) 496-8643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140724001439 MA Practitioner - Clinical Social Worker 1456577675 Reassigns benefits to 1 organization
Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16 Armory St
Suite 6
Northampton, MA 01060-3857
Phone (413) 341-6931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118098MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Post-Traumatic Growth Group PLLC Clinical CurrentSince Aug 1, 2025 Accepting new patients

Locations

16 Armory St
Ste 6
Northampton, MA 01060
Phone (413) 341-6931

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1124308705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 KING ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603284",
            "telephone_number": "508-496-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 KING ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603284",
            "telephone_number": "508-496-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESE",
        "first_name": "MICHELLE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.