Individual provider Active NPI

Theresa Gerard Michaud, LCSW

  • Marriage & Family Therapist
  • Colts Neck, NJ
National Provider Identifier
1316961311
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37F100128000 Issued in NJ
Practice address
3 Sheffield CT
Colts Neck, NJ 07722-2015
Phone
(732) 332-1086
Fax
(732) 332-1086
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00088300 NJ
Marriage & Family Therapist 106H00000X 37F100128000 NJ Primary

Addresses

Primary practice location

3 Sheffield CT
Colts Neck, NJ 07722-2015

Mailing address

3 Sheffield CT
Colts Neck, NJ 07722-2015
Phone (732) 332-1086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000497 NJ Practitioner - Clinical Social Worker 3870530801 Practice locations: Freehold, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

63 W Main St
Freehold, NJ 07728-1965
Phone (732) 610-3474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00088300NJMDClinical Social Worker
37F100128000NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cranford Center for Human Development PastSince Jun 16, 2018 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1316961311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHEFFIELD CT",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222015",
            "telephone_number": "732-332-1086",
            "fax_number": "732-332-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHEFFIELD CT",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222015",
            "telephone_number": "732-332-1086",
            "fax_number": "732-332-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "THERESA",
        "middle_name": "GERARD",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00088300",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37F100128000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

Verify at the official NPI Registry.