Active NPI
Michele Clarkson, MSW,LCSW,CDST,CS
- Professional Counselor
- Scottsdale, AZ
National Provider Identifier
1649442062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LW00004059
- Practice address
- 7101 E Indian School Rd
Scottsdale, AZ 85251-3807 - Phone
- (480) 600-1518
- Fax
- (480) 816-6619
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LW00004059 | WA | Primary |
Addresses
Primary practice location
7101 E Indian School Rd
Scottsdale, AZ 85251-3807
Mailing address
7101 E Indian School Rd
Scottsdale, AZ 85251-3807
Phone (480) 600-1518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LW00004059 | Other | WA | STATE BUSINESS LICENSE |
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 |
|---|---|---|---|
| LW00004059 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1649442062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 E INDIAN SCHOOL RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513807",
"telephone_number": "480-600-1518",
"fax_number": "480-816-6619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 E INDIAN SCHOOL RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513807",
"telephone_number": "480-600-1518",
"fax_number": "480-816-6619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKSON",
"first_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "MSW,LCSW,CDST,CS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "LW00004059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BUSINESS LICENSE",
"identifier": "LW00004059",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.