Michelle Fidell, MSW,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005265 Issued in MO

Practice address

425 N New Ballas Rd
Suite 195
Creve Coeur, MO 63141-6814

Phone

(314) 991-5666

NPI assigned

Aug 6, 2008

Last updated

Aug 6, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shellie Fidell Professional name

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.

Opted out of Medicare

Yes, effective Apr 26, 2016 through Apr 26, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1821254020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N NEW BALLAS RD",
            "address_2": "SUITE 195",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N NEW BALLAS RD",
            "address_2": "SUITE 195",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416814",
            "telephone_number": "314-991-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDELL",
        "first_name": "MICHELLE",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLIE",
            "last_name": "FIDELL",
            "credential": "MSW,LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Quinn Farrell, DPT
• Sara Farrell, LPC
• Daniel Michael Fazio, D.C.
• James A. Feigenbaum
• Antoinette Felder
• Sandra K Filer, M.A.,L.C.S.W.
• Dianna Fine, LPC
• Kelsey Finnegan
• Lauren Finnerty, NP-C
• Kelly D Fischer, NP

• Clinical Social Worker in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.