Active NPI
Fabienne Michel, LMSW
- Social Worker
- Lawrenceville, GA
National Provider Identifier
1619725462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW005735
- Practice address
- 1903 Wilson Manor Cir
Lawrenceville, GA 30045-3742 - Phone
- (347) 307-0597
- NPI assigned
- May 7, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801118109 | MI | |
| Social Worker | 104100000X | MSW005735 | GA | Primary |
Addresses
Primary practice location
1903 Wilson Manor Cir
Lawrenceville, GA 30045-3742
Mailing address
1250 Scenic Hwy # 1701-265
Lawrenceville, GA 30045-6359
Phone (347) 307-0597
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
| License | State | Type | Specialty |
|---|---|---|---|
| MSW005735 | GA | MD | Social Worker |
| 6801118109 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1619725462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 SCENIC HWY # 1701-265",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300456359",
"telephone_number": "347-307-0597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 WILSON MANOR CIR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300453742",
"telephone_number": "347-307-0597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEL",
"first_name": "FABIENNE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801118109",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW005735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.