Michelle Lynn Ugolini, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012089 Issued in NC

Practice address

531 Brentwood Rd, Suite 153 Suite 153
Denver, NC 28037-6720

Phone

(704) 310-1480

Fax

(704) 966-0135

NPI assigned

Apr 11, 2007

Last updated

Feb 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michelleugolini@tdh.allscriptsdirect.net

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

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  Clinical

  NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1841413358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 BRENTWOOD RD SUITE 153",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280370269",
            "telephone_number": "704-310-1480",
            "fax_number": "704-966-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 BRENTWOOD RD, SUITE 153 SUITE 153",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280376720",
            "telephone_number": "704-310-1480",
            "fax_number": "704-966-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGOLINI",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS21796",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynn Tolcher, RNCPHP
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• Heather N Triplett, PTA
• Robert Unrath, D.C.
• Jonathan Lawrence Vance, LPTA
• Anushya Velayuthan, PHARM D
• Layne Veneri, DDS
• Michael Vick, DDS

• Clinical Social Worker in Denver, NC
• Providers in Denver, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.