Heather Michelson, BS

Individual provider Active NPI Social Worker · Cov, KY

NPI 1730119306 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1730119306
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
502 Farrell Dr
Cov, KY 41011-3717
Phone
(859) 331-3292
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Yes

Addresses

Primary practice location

502 Farrell Dr
Cov, KY 41011-3717

Mailing address

502 Farrell Dr
Cov, KY 41011-3717

Other identifiers

IdentifierTypeStateIssuer
184607OtherKYMEDICARE GROUP NUMBER

Other providers in Cov, KY

All providers in Cov, KY · Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.