Active NPI
Judith Michalski, LCSW
- Mental Health Counselor
- Fort Pierce, FL
National Provider Identifier
1932242856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW 7332
- Practice address
- 121 N 2ND St
Suite 301
Fort Pierce, FL 34950-4435 - Phone
- (772) 595-3773
- Fax
- (772) 464-0087
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW 7332 | FL | Primary |
Addresses
Primary practice location
121 N 2ND St
Suite 301
Fort Pierce, FL 34950-4435
Mailing address
121 N 2ND St
Suite 301
Fort Pierce, FL 34950-4435
Phone (772) 595-3773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW7332 | Other | FL | LICENSED CLINICAL SOCIAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 7332 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932242856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N 2ND ST",
"address_2": "SUITE 301",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504435",
"telephone_number": "772-595-3773",
"fax_number": "772-464-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 N 2ND ST",
"address_2": "SUITE 301",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504435",
"telephone_number": "772-595-3773",
"fax_number": "772-464-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHALSKI",
"first_name": "JUDITH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "SW 7332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL",
"identifier": "SW7332",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
- Metropolitan Anesthesia Group PL
- MFP Opco LLC (The Manor of Fort Pierce)
- Michael C Riordan Psy D P a
- Michael C. Solomon, Mdpa
- Michael J Costello MD PA
- Vicki N Michel, APRN
- Mid Florida Radiation Oncology Asso
- Mid Florida Radiation Oncology Asso (Lawnwood Cancer Center)
- Midway Dental Center of Ft Pierce LLC
- Midway Immunology and Research Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.