MEDICARE: MICHELLE K OHDE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CSW.09928451	CO
2	104100000X	Social Worker	S.0021134	OH
3	1041C0700X	Clinical Social Worker	I1500088	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184057358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE K OHDE LCSW

Provider Business Mailing Address
First Line	:	4851 INDEPENDENCE ST
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-6715
Country	:	US
Telephone Number	:	303-425-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2987 BERGEN PEAK DR
Second Line	:
City	:	EVERGREEN
State	:	CO
Zip	:	80439-2205
Country	:	US
Telephone Number	:	740-398-9697
Fax Number	:	877-345-3501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2013
Last Update Date	:	06/12/2026

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Directions to “ MICHELLE K OHDE LCSW” Practice Location

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