Individual provider Active NPI

Michelle Patrice Villeneuve, MSW

  • Clinical Social Worker
  • Brattleboro, VT
National Provider Identifier
1861624314
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0001118 Issued in VT
Practice address
1 Anna Marsh Lane
Brattleboro, VT 05301-0101
Phone
(802) 257-7785
Fax
(802) 258-3798
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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 089-0001118 VT Primary

Addresses

Primary practice location

1 Anna Marsh Lane
Brattleboro, VT 05301-0101

Mailing address

PO Box 101
Brattleboro, VT 05302-0101
Phone (802) 257-7785

Other identifiers 1

IdentifierTypeStateIssuer
089-0001118OtherVTLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190618001367 NH Practitioner - Clinical Social Worker 3971836354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seacoast Mental Health Center IncGroup PAC ID 0749240208, 45 clinicians

Practice addresses (Care Compare)

1145 Sagamore Ave
Portsmouth, NH 03801-5503
Phone (603) 431-6703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2231NHMDMental Health Counselor
089-0001118VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Mental Health Center, Inc. CurrentSince May 28, 2019 Accepting new patients

Locations

1145 Sagamore Ave
Portsmouth, NH 03801
Phone (603) 431-6703

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": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1861624314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053020101",
            "telephone_number": "802-257-7785",
            "fax_number": "802-258-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ANNA MARSH LANE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053010101",
            "telephone_number": "802-257-7785",
            "fax_number": "802-258-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLENEUVE",
        "first_name": "MICHELLE",
        "middle_name": "PATRICE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0001118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "089-0001118",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.