Michele Elizabeth Brady, LICSW
Individual provider Active NPI Clinical Social Worker · Nantucket, MA
NPI 1245739416 · NPPES record last updated Feb 2, 2018
Key facts
- NPI
- 1245739416
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1023427 (MA)
- Practice address
- 32 Surfside Rd
Nantucket, MA 02554-2862 - Phone
- (508) 648-2028
- NPI assigned
- Feb 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023427 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1023427 | MA | Yes |
Addresses
Primary practice location
32 Surfside Rd
Nantucket, MA 02554-2862
Mailing address
32 Surfside Rd
Nantucket, MA 02554-2862
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023427 | Other | MA | LICSW |
Other providers in Nantucket, MA
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- Almudena Berzosa Roque
- Bettr Full
- Joseph J Bickford
- Bite Size Dental Care
- Luciana B Bretz-Pavie
- Danielle Briard
- Shea L Burke
- Christopher Joseph Burns
- Joanne Patricia Bushong
All providers in Nantucket, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.