Michelle Ann Dattada, MSW, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

P004806 Issued in NC

Practice address

5878 Faringdon PL
Raleigh, NC 27609-4589

Phone

(919) 872-4833

NPI assigned

Feb 24, 2009

Last updated

Nov 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1275773749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5878 FARINGDON PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094589",
            "telephone_number": "919-872-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5878 FARINGDON PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094589",
            "telephone_number": "919-872-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTADA",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P004806",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "33SL05490100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Ruth Darvish
• Raouf Akram Darweesh I
• Deonna Dasilva, APRN
• Sandra Daskalakis, NP-C
• Gloria Datse
• Hailey Daub
• Faisal Ahmad Daud
• Craig Dauer
• Megan L Daugherty, LCSW
• Connor Caroline Daughtridge

• Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.