Individual provider Active NPI

M Michelle Milligan, LCSW

  • Clinical Social Worker
  • Newark, DE
National Provider Identifier
1679988539
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q10001297 Issued in DE
Practice address
4142 Ogletown Stanton Rd Ste 102
Newark, DE 19713-4169
Phone
(302) 416-6805
Fax
(302) 533-6011
NPI assigned
Jun 29, 2014
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3608 NE
Mental Health Counselor 101YM0800X 08901358TELE VT
Clinical Social Worker 1041C0700X 32493 MD
Clinical Social Worker 1041C0700X TLS1206CP SC
Clinical Social Worker 1041C0700X 1372861693501 UT
School Social Worker 1041S0200X 44SC06515800 NJ
Clinical Social Worker 1041C0700X Q10001297 DE Primary

Addresses

Primary practice location

4142 Ogletown Stanton Rd Ste 102
Newark, DE 19713-4169

Mailing address

4142 Ogletown Stanton Rd Ste 102
Newark, DE 19713-4169
Phone (302) 416-6805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190723002349 DE Practitioner - Clinical Social Worker 6507192903 Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3608NEMDMental Health Counselor
08901358TELEVTMDMental Health Counselor
Q10001297DEMDClinical Social Worker
32493MDMDClinical Social Worker
TLS1206CPSCMDClinical Social Worker
1372861693501UTMDClinical Social Worker
44SC06515800NJMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1679988539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 OGLETOWN STANTON RD STE 102",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134169",
            "telephone_number": "302-416-6805",
            "fax_number": "302-533-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 OGLETOWN STANTON RD STE 102",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134169",
            "telephone_number": "302-416-6805",
            "fax_number": "302-533-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "M MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3608",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "08901358TELE",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "32493",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "TLS1206CP",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1372861693501",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "44SC06515800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10001297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.