Active NPI
Michelle Yvette McCormick
- Social Worker
- Birmingham, AL
National Provider Identifier
1225748684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2608G
- Practice address
- 700 19TH St S
Birmingham, AL 35233-1927 - Phone
- (205) 520-4280
- NPI assigned
- Nov 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2608G | AL | Primary |
Addresses
Primary practice location
700 19TH St S
Birmingham, AL 35233-1927
Mailing address
700 19TH St S
Birmingham, AL 35233-1996
Phone (205) 520-4280
Other practice location 1
1832 Pebble Lake Dr
Birmingham, AL 35235-2979
Phone (205) 520-4280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2608G | AL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1225748684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331996",
"telephone_number": "205-520-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331927",
"telephone_number": "205-520-4280"
}
],
"practiceLocations": [
{
"address_1": "1832 Pebble Lake Dr",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352352979",
"country_code": "US",
"telephone_number": "205-520-4280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORMICK",
"first_name": "MICHELLE",
"middle_name": "YVETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "AL",
"license": "2608G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.