Michelle Rene Condry

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW8414 Issued in FL

Legal business name

MICHELLE RENE CONDRY

Practice address

7862 W Irlo Bronson Hwy
# 209
Kissimmee, FL 34747-1764

Phone

(813) 407-0257

NPI assigned

Dec 21, 2009

Organization subpart

No

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

Authorized official

Name

Michelle Rene Condry, LCSW

Title

Licensed Social Worker

Phone

(813) 407-0257

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1962731018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7862 W IRLO BRONSON HWY",
            "address_2": "# 209",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471764",
            "telephone_number": "813-407-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7862 W IRLO BRONSON HWY",
            "address_2": "# 209",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471764",
            "telephone_number": "813-407-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE RENE CONDRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "CONDRY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "LICENSED SOCIAL WORKER",
        "authorized_official_telephone_number": "813-407-0257",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW8414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Kissimmee, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.