Active NPI
Michelle Antoinette Piacquadio, LCSW
- Clinical Social Worker
- Andrews Air Force Base, MD
National Provider Identifier
1447223797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904001191
- Practice address
- 1050 W Perimeter Rd
Joint Base Andrews Afb
Andrews Air Force Base, MD 20762-6601 - Phone
- (240) 857-8684
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 0904001191 | VA | Primary |
Addresses
Primary practice location
1050 W Perimeter Rd
Joint Base Andrews Afb
Andrews Air Force Base, MD 20762-6601
Mailing address
3409 White Fir CT Unit D
Waldorf, MD 20602-3609
Phone (757) 581-7639
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C01884 | Other | MCARE GROUP | |
| 253774 | Other | ANTHEM PPO BCBS | |
| 066469 | Other | MAGELLAN | |
| 018485 | Other | VALUE OPTIONS | |
| 084060 | Other | SENTARA OPTIMA | |
| 008917612 | Medicaid | VA | |
| 17011 | Other | CIGNA | |
| P00035376 | Other | MCARE RAILROAD | |
| 241248 | Other | MANAGED HEALTH NETWORK |
Other names 1
- Michelle Antoinette Ford - Finch
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T Med Behavioral Inc | Clinical | Past | Accepting new patients |
| Atlantic Psychiatric Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1063514925
-
- Clinical Psychologist
- Fairfax, VA
- NPI 1497719272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1447223797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 WHITE FIR CT UNIT D",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023609",
"telephone_number": "757-581-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W PERIMETER RD",
"address_2": "JOINT BASE ANDREWS AFB",
"city": "ANDREWS AIR FORCE BASE",
"state": "MD",
"postal_code": "207626601",
"telephone_number": "240-857-8684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIACQUADIO",
"first_name": "MICHELLE",
"middle_name": "ANTOINETTE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904001191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE GROUP",
"identifier": "C01884",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PPO BCBS",
"identifier": "253774",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "066469",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "018485",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OPTIMA",
"identifier": "084060",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008917612",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "17011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE RAILROAD",
"identifier": "P00035376",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "241248",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "FORD - FINCH",
"middle_name": "ANTOINETTE",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Andrews Air Force Base, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.