Active NPI
Jaqueline G Michel
- Clinical Social Worker
- Clinton, NY
National Provider Identifier
1235433897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R037032-1
- Practice address
- 1 Kirkland Ave
Suite 203
Clinton, NY 13323-1426 - Phone
- (315) 859-1470
- Fax
- (315) 853-3242
- NPI assigned
- Dec 22, 2010
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R037032-1 | NY | Primary |
Addresses
Primary practice location
1 Kirkland Ave
Suite 203
Clinton, NY 13323-1426
Mailing address
1 Kirkland Ave
Suite 203
Clinton, NY 13323-1426
Phone (315) 859-1470
Other names 1
- Mrs. Jaqueline G Michel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 21, 2017 through Jun 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R037032-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Michel Associate | Clinical | Past | Accepting new patients |
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": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1235433897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KIRKLAND AVE",
"address_2": "SUITE 203",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231426",
"telephone_number": "315-859-1470",
"fax_number": "315-853-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KIRKLAND AVE",
"address_2": "SUITE 203",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231426",
"telephone_number": "315-859-1470",
"fax_number": "315-853-3242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEL",
"first_name": "JAQUELINE",
"middle_name": "G",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-22",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R037032-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAQUELINE",
"last_name": "MICHEL",
"middle_name": "G",
"prefix": "MRS.",
"credential": "LCSWR",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Clinton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.