NPI Code Details Logo

NPI 1770660953

NPI 1770660953 : MICHELE LYN WEBBER-KLEIN NP, LCSW : FRESNO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1770660953
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MICHELE LYN WEBBER-KLEIN NP, LCSW
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/01/2006
-----------------------------------------------------
    Last Update Date     |    05/28/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4441 E CESAR CHAVEZ BLVD 
-----------------------------------------------------
    City                 |    FRESNO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93702-3604
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    559-600-9040
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4441 E CESAR CHAVEZ BLVD 
-----------------------------------------------------
    City                 |    FRESNO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93702-3604
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    559-600-9180
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    19898
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    163WP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Registered Nurse
-----------------------------------------------------
    License Number       |    651852
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    163WP0809X
-----------------------------------------------------
    Taxonomy Name        |    Adult Psychiatric/Mental Health Registered Nurse
-----------------------------------------------------
    License Number       |    200842502RN
-----------------------------------------------------
    License Number State |    OR
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    363LW0102X
-----------------------------------------------------
    Taxonomy Name        |    Women's Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    22871
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    22871
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.