Active NPI
Michelle Desiree Stefanelli, DBA/MSW/MBA/LCSW
- Clinical Social Worker
- East Orange, NJ
National Provider Identifier
1376569368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00015700
- Practice address
- 385 Tremont Ave
East Orange, NJ 07018-1023 - Phone
- (908) 247-2113
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00015700 | NJ | Primary |
Addresses
Primary practice location
385 Tremont Ave
East Orange, NJ 07018-1023
Mailing address
363 Tremont Ave
East Orange, NJ 07018-1022
Phone (908) 247-2113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Business Administration, Master of Business Administration
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1376569368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 TREMONT AVE",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181022",
"telephone_number": "908-247-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 TREMONT AVE",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181023",
"telephone_number": "908-247-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFANELLI",
"first_name": "MICHELLE",
"middle_name": "DESIREE",
"name_prefix": "Ms.",
"credential": "DBA/MSW/MBA/LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00015700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.