MEDICARE: MICHELLE MCPHERSON THERAPY LCSW PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1548116304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHELLE MCPHERSON THERAPY LCSW PLLC

Provider Business Mailing Address
First Line	:	920 WINTON RD S STE A
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-1634
Country	:	US
Telephone Number	:	585-210-9081
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 WINTON RD S STE A
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-1634
Country	:	US
Telephone Number	:	585-210-9081
Fax Number	:

Authorized Official
Title or Position	:	SOCIAL WORKER THERAPIST
Name	:	NANCY MICHELLE MCPHERSON
Credential	:	LCSW
Telephone Number	:	585-210-9081

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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