Individual provider Active NPI

Michele Navon, MSW LICSW

  • Clinical Social Worker
  • Marblehead, MA
National Provider Identifier
1689658577
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106208 Issued in MA
Practice address
8 Jackson Rd
Marblehead, MA 01945-2831
Phone
(781) 631-7448
NPI assigned
Dec 3, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 106208 MA Primary

Addresses

Primary practice location

8 Jackson Rd
Marblehead, MA 01945-2831

Mailing address

8 Jackson Rd
Marblehead, MA 01945-2831

Other identifiers 1

IdentifierTypeStateIssuer
106208OtherMALIC. IND. CLIN. SOC. WORK

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
106208MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Mental Health, Inc PastSince Jan 1, 2009 Accepting new patients
Duxbury Counseling Past Accepting new patients
Northeast Health Services, LLC PastSince Jan 9, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1689658577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JACKSON RD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JACKSON RD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452831",
            "telephone_number": "781-631-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVON",
        "first_name": "MICHELE",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-03",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC. IND. CLIN. SOC. WORK",
            "identifier": "106208",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marblehead, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.