Healthcare Provider Details

I. General information

NPI: 1447963699
Provider Name (Legal Business Name): MICHELLE LINSCHEID LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2023
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 N 48TH ST APT 2016
PHOENIX AZ
85008-5954
US

IV. Provider business mailing address

1010 N 48TH ST APT 2016
PHOENIX AZ
85008-5954
US

V. Phone/Fax

Practice location:
  • Phone: 503-856-6017
  • Fax:
Mailing address:
  • Phone: 503-856-6017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW-20220
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-23140
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: