Individual provider Active NPI

Michelle Poye-Seal, LCSW-C

  • Clinical Social Worker
  • Hagerstown, MD
National Provider Identifier
1316293780
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18724 Issued in MD
Practice address
138 W Washington St
Hagerstown, MD 21740-4734
Phone
(301) 305-1740
Fax
(301) 733-2432
NPI assigned
Aug 3, 2012
Last updated
Feb 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18724 MD Primary

Addresses

Primary practice location

138 W Washington St
Hagerstown, MD 21740-4734

Mailing address

21629 National Pike
Boonsboro, MD 21713-1638
Phone (301) 305-1740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18724MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Tree Counseling Center Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1316293780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21629 NATIONAL PIKE",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131638",
            "telephone_number": "301-305-1740",
            "fax_number": "301-668-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W WASHINGTON ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404734",
            "telephone_number": "301-305-1740",
            "fax_number": "301-733-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POYE-SEAL",
        "first_name": "MICHELLE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.