Individual provider Active NPI

Michelle Beth Topal, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1992727176
Registry record updated Mar 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003891 Issued in NC
Practice address
111 Windel Dr
Suite 213
Raleigh, NC 27609-4475
Phone
(919) 360-1929
Fax
(714) 276-6999
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C003891 NC Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

111 Windel Dr
Suite 213
Raleigh, NC 27609-4475

Mailing address

3700 Eck Dr
Raleigh, NC 27604-4034
Phone (919) 360-1929

Other identifiers 1

IdentifierTypeStateIssuer
6003326MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 20, 2016 through Dec 20, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C003891NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindpath Care Centers, North Carolina, PLLC Mental Health PastSince Aug 15, 2004 Accepting new patients
Cloyd Psychological Services, PLLC Past Accepting new patients
Change for Living Counseling, PLLC Past Accepting new patients

Organizations & group practices 3

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299283200000",
    "number": "1992727176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 ECK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044034",
            "telephone_number": "919-360-1929",
            "fax_number": "714-276-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WINDEL DR",
            "address_2": "SUITE 213",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094475",
            "telephone_number": "919-360-1929",
            "fax_number": "714-276-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPAL",
        "first_name": "MICHELLE",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003891",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003326",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.