Michelle Trudeau

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.025600 Issued in IL

Practice address

444 N Northwest Hwy Ste 320
Park Ridge, IL 60068-3277

Phone

(847) 987-4221

NPI assigned

May 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1366132011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N BROADWAY AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682907",
            "telephone_number": "847-987-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY STE 320",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683277",
            "telephone_number": "847-987-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDEAU",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Tri, CGC
• Dragana Trivanovic
• Ritu D Trivedi-Purohit, PSYD.
• Angelica Tron
• Jennifer Trsar
• Yolanda P. Trujillo, M.D.
• Ken Truong, MS, OTR/L
• Jozef Tryzno, M.D., RVT
• Lilina Tsang, PA-C
• Tommi Tsao

• Clinical Social Worker in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.