Individual provider Active NPI

Michele Renee Lovell, LCSW

  • Clinical Social Worker
  • Spring Valley, NY
National Provider Identifier
1740444108
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073533 Issued in NY
Practice address
17 Trinity Ave
Spring Valley, NY 10977-3025
Phone
(347) 495-8196
Fax
(845) 290-5192
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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 073533 NY Primary

Addresses

Primary practice location

17 Trinity Ave
Spring Valley, NY 10977-3025

Mailing address

17 Trinity Ave
Spring Valley, NY 10977-3025
Phone (347) 495-8196

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073533NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Wellness Collective- a Mind Body and Soul Experience LLC Current Accepting new patients

Organizations & group practices 1

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1740444108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TRINITY AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773025",
            "telephone_number": "347-495-8196",
            "fax_number": "845-290-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 TRINITY AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773025",
            "telephone_number": "347-495-8196",
            "fax_number": "845-290-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELL",
        "first_name": "MICHELE",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.