Michelle Michalkovic, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890134158 Issued in VT

Practice address

274 Green Mountain Rd
Manchester Center, VT 05255-9560

Phone

(802) 558-9433

NPI assigned

Mar 30, 2007

Last updated

Nov 24, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Manchester Mental Health PLC

  • Community/Behavioral Health Agency
  • Manchester Center, VT
  • NPI 1588268122
  NPD Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1427178714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COLONIAL DR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 GREEN MOUNTAIN RD",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559560",
            "telephone_number": "802-558-9433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Williams St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NY",
            "postal_code": "133231706",
            "country_code": "US",
            "telephone_number": "315-790-0687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHALKOVIC",
        "first_name": "MICHELLE",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R058049-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890134158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth McCoy, MA, CCC-SLP
• Marleigh Helen McNealus, OPTICIAN
• Suzanne Mears, LCMHC
• Kathy Van Metzger, PT
• MH Health Care Services, PC
• Keith W Michl, MD
• Donna M Miller, MD
• MMC Pediatrics PLLC
• Margaret B Mole, P.T.
• Diane Molineaux, RPH

• Clinical Social Worker in Manchester Center, VT
• Providers in Manchester Center, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.