Active NPI
Michelle Lee Van Thiel I, LCSW
- Clinical Social Worker
- Appleton, WI
National Provider Identifier
1245617679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-7257
- Practice address
- N9487 County Rd N
Appleton, WI 54915-9316 - Phone
- (920) 850-7902
- NPI assigned
- May 6, 2015
- 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 | LCSW-7257 | WI | Primary |
Addresses
Primary practice location
N9487 County Rd N
Appleton, WI 54915-9316
Mailing address
N9487 Country Road N
Appleton, WI 54915
Phone (920) 850-7902
Other names 1
- Michelle Lee McFarlan
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-7257 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1245617679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N9487 COUNTRY ROAD N",
"city": "APPLETON",
"state": "WI",
"postal_code": "54915",
"telephone_number": "920-850-7902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N9487 COUNTY RD N",
"city": "APPLETON",
"state": "WI",
"postal_code": "549159316",
"telephone_number": "920-850-7902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN THIEL",
"first_name": "MICHELLE",
"middle_name": "LEE",
"name_suffix": "I",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-06",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "LCSW-7257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "MCFARLAN",
"middle_name": "LEE",
"credential": "APSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.