Michelle Marie Kilcoyne, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

75239 Issued in CA

Practice address

448 Estero Ave
Morro Bay, CA 93442-2633

Phone

(805) 550-8717

NPI assigned

Nov 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1477067932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934061004",
            "telephone_number": "805-550-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 ESTERO AVE",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422633",
            "telephone_number": "805-550-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILCOYNE",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Juday, MA, CCC-SLP
• Julie Jennings Family Therapy, Professional Corporation
• Cameron Jung-Fagan, MS, RD
• Stephen Kerr, PT
• Sarah Nicole Kessner, MS, RDN
• Marshall King
• Garry R Kolb, MD
• Kathleen Maryanne Kralik
• Haley Kubinak, PT
• Priyanka Kumar, PT

• Clinical Social Worker in Morro Bay, CA
• Providers in Morro Bay, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.