Organization Active NPI

J Michel Associate

  • Social Worker
  • Clinton, NY
National Provider Identifier
1508996968
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R037032 Issued in NY
Legal business name
J MICHEL ASSOCIATE
Practice address
36 Kellogg St
Clinton, NY 13323-1523
Phone
(315) 859-1470
Fax
(315) 859-1480
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jaqueline G Michel, LCSWRNPI 1235433897
Title
Owner
Phone
(315) 859-1470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X R037032 NY Primary

Addresses

Primary practice location

36 Kellogg St
Clinton, NY 13323-1523

Mailing address

36 Kellogg St
Clinton, NY 13323-1523
Phone (315) 859-1470

Other identifiers 1

IdentifierTypeStateIssuer
1307OtherBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508996968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 KELLOGG ST",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231523",
            "telephone_number": "315-859-1470",
            "fax_number": "315-859-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 KELLOGG ST",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231523",
            "telephone_number": "315-859-1470",
            "fax_number": "315-859-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MICHEL ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "JAQUELINE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-859-1470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R037032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1307",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.