Michelle A Coral, LCSW, LCADC
Individual provider Active NPI Clinical Social Worker · Randolph, NJ
NPI 1255165395 · NPPES record last updated Aug 30, 2024
Key facts
- NPI
- 1255165395
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 445C05758100 (NJ)
- Practice address
- 124 Morris Tpke
Randolph, NJ 07869-2831 - Phone
- (862) 432-7720
- NPI assigned
- Aug 30, 2024
- 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 |
|---|---|---|---|
| 37C00277500 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 445C05758100 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37C00277500 | NJ | |
| Clinical Social Worker | 1041C0700X | 445C05758100 | NJ | Yes |
Addresses
Primary practice location
124 Morris Tpke
Randolph, NJ 07869-2831
Mailing address
400 E Randolph Ave Apt 22
Mine Hill, NJ 07803-3063
Other names
- Michelle A Reyes
Other providers in Randolph, NJ
- Marisa Ciufalo
- Thomas Roger Coleman
- College Plaza Pediatrics
- Karen E Como
- Alexandra Rachel Constantinides
- Elizabeth Cornock
- Jeanette Costa
- Covalesky Pharmaceutical Consultating
- Jamie Coveney
- Rachel Crespo
All providers in Randolph, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2024. 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.