Active NPI
Michele Lynn Wolcott, MA CCC-SLP
- Speech-Language Pathologist
- Corning, NY
National Provider Identifier
1801102025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 014875-1
- Practice address
- 3414 Stanton St.
Corning, NY 14870 - Phone
- (607) 936-4156
- NPI assigned
- Aug 25, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 014875-1 | NY | Primary |
Addresses
Primary practice location
3414 Stanton St.
Corning, NY 14870
Mailing address
79 Durland Ave
Elmira, NY 14905-1938
Other names 1
- Mrs. Michele Lynn Wolcott-Lovell
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014875-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1801102025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 DURLAND AVE",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149051938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 STANTON ST.",
"city": "CORNING",
"state": "NY",
"postal_code": "14870",
"telephone_number": "607-936-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLCOTT",
"first_name": "MICHELE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "014875-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "WOLCOTT-LOVELL",
"middle_name": "LYNN",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.