C Yvonne Micheli, LCSWC MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

02826 Issued in MD

Practice address

65 Duke St
Kaine BLDG Suite 111
Prince Frederick, MD 20678-6128

Phone

(410) 257-5750

Fax

(410) 257-5750

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Heidi Daniels, PH.D., P.a.

  • Clinical Psychologist
  • Prince Frederick, MD
  • NPI 1538324595
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324166400000",
    "number": "1366545774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3568",
            "address_2": "65 DUKE ST, #111",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206782578",
            "telephone_number": "410-257-5750",
            "fax_number": "410-257-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DUKE ST",
            "address_2": "KAINE BLDG SUITE 111",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206786128",
            "telephone_number": "410-257-5750",
            "fax_number": "410-257-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELI",
        "first_name": "C",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "LCSWC MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "02826",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "02826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CROSS",
            "identifier": "3711-0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "QD82",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5562091",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "3242370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharmin Meraj, D.D.S.
• Gina Messineo
• Michael J. Dodd, M.D., P.a.
• Michael J. Dodd, M.D., PA
• Laura Michaud
• Jeremy Middleton
• Rachael Miller Levy, MD
• Kathleen Haas Miller, M.D.
• Robert G Miller, D.D.S
• Venera R Miller, M.D.

• Clinical Social Worker in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.