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1831098425 NPI number — MICHELLE STARBROOKE LLMSW

NPI Number: 1831098425
Health Care Provider/Practitioner: MICHELLE STARBROOKE LLMSW

Information about “1831098425” NPI (MICHELLE STARBROOKE LLMSW) exists in 1831098425 in HTML format HTML  |  1831098425 in plain Text format TXT  |  1831098425 in PDF (Portable Document Format) PDF  |  1831098425 in an XML format XML  formats.

NPI Number : 1831098425 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831098425",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STARBROOKE",
    "FirstName": "MICHELLE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LLMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6674 ADARIDGE DR SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ADA",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49301-9139",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "810-908-3929",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2040 RAYBROOK ST SE STE 308",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAND RAPIDS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49546-7718",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "616-287-4644",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/02/2026",
    "LastUpdateDate": "11/02/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "6851121603",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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