MEDICARE: MICHELLE ANN MCCAMY SW

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	104100000X	Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962712778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ANN MCCAMY SW

Provider Business Mailing Address
First Line	:	914 S 12TH ST STE 101
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58504-5941
Country	:	US
Telephone Number	:	701-554-2442
Fax Number	:	701-258-5999

Provider Business Practice Location Address
First Line	:	914 S 12TH ST STE 101
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58504-5941
Country	:	US
Telephone Number	:	701-554-2442
Fax Number	:	701-258-5999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2010
Last Update Date	:	02/24/2025

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Directions to “ MICHELLE ANN MCCAMY SW” Practice Location

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