Individual provider Active NPI

Michelle Rene Fitting, LMSW

  • Social Worker
  • Lewiston, ID
National Provider Identifier
1447686464
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-30714 Issued in ID
Practice address
1002 Idaho St
Lewiston, ID 83501-1938
Phone
(208) 746-7661
Fax
(208) 746-0811
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-30714 ID Primary

Addresses

Primary practice location

1002 Idaho St
Lewiston, ID 83501-1938

Mailing address

1002 Idaho St
Lewiston, ID 83501-1938
Phone (208) 746-7661

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-30714IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Counseling and Support Services PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1447686464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 IDAHO ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011938",
            "telephone_number": "208-746-7661",
            "fax_number": "208-746-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 IDAHO ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011938",
            "telephone_number": "208-746-7661",
            "fax_number": "208-746-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITTING",
        "first_name": "MICHELLE",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-30714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.