Healthcare Provider Details

I. General information

NPI: 1932536026
Provider Name (Legal Business Name): MICHELLE LOUISE SEPE LCSW, PPSC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2013
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1936 CARLOTTA DR
CONCORD CA
94519-1358
US

IV. Provider business mailing address

254 NANCY LN
PLEASANT HILL CA
94523-2823
US

V. Phone/Fax

Practice location:
  • Phone: 925-682-8000
  • Fax:
Mailing address:
  • Phone: 860-836-0039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW83731
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: