NPIMap

Organization Active NPI

Lucille Lee McMichael

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1154569614
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3277 Issued in KY
Legal business name
LUCILLE LEE MCMICHAEL
Practice address
1830 Destiny LN
Suite 112
Bowling Green, KY 42104-1087
Phone
(270) 746-9995
Fax
(270) 393-9011
NPI assigned
Jan 21, 2009
Last updated
Jan 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Lucille Lee McMichael, LCSWNPI 1801033980
Title
Owner
Phone
(270) 746-9995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3277 KY Primary

Addresses

Primary practice location

1830 Destiny LN
Suite 112
Bowling Green, KY 42104-1087

Mailing address

1830 Destiny LN
Suite 112
Bowling Green, KY 42104-1087
Phone (270) 746-9995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1154569614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 DESTINY LN",
            "address_2": "SUITE 112",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041087",
            "telephone_number": "270-746-9995",
            "fax_number": "270-393-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 DESTINY LN",
            "address_2": "SUITE 112",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041087",
            "telephone_number": "270-746-9995",
            "fax_number": "270-393-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCILLE LEE MCMICHAEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "MCMICHAEL",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-746-9995",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.