Healthcare Provider Details

I. General information

NPI: 1134895683
Provider Name (Legal Business Name): MICHAELA RAPOZA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2021
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 LINCOLN ST
WORCESTER MA
01605-1901
US

IV. Provider business mailing address

115 NE CUTOFF BLDG. 2, SUITE 200
WORCESTER MA
01606-1224
US

V. Phone/Fax

Practice location:
  • Phone: 800-853-2288
  • Fax:
Mailing address:
  • Phone: 508-595-0745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW229975
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: