Michelina Libera Docimo, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

81 Plantation St
Worcester, MA 01604-3069

Phone

(508) 849-5600

NPI assigned

Sep 12, 2012

Last updated

Sep 12, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1881944312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RICHARDSON RD",
            "city": "WEST BROOKFIELD",
            "state": "MA",
            "postal_code": "015853122",
            "telephone_number": "434-386-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043069",
            "telephone_number": "508-849-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCIMO",
        "first_name": "MICHELINA",
        "middle_name": "LIBERA",
        "name_prefix": "Miss",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duke N Doan, PHARMACIST
• Huy Luong Doan
• Rose M Doan
• Elizabeth Lea Dobell, MD
• Elizabeth Dobles, MD
• Dominique Matica Dockery, MD
• Dodge Park at Home
• Dodge Park LLC (Dodge Park Rest Home)
• Dodge Park Rest Home Inc.
• Linda L Dodge, N.P.

• Mental Health Counselor in Worcester, MA
• Providers in Worcester, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.