MEDICARE: MRS. JAQUELINE G MICHEL

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	R037032-1	NY

General Provider Information

NPI Number	:	1235433897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAQUELINE G MICHEL

Provider Business Mailing Address
First Line	:	1 KIRKLAND AVE
Second Line	:	SUITE 203
City	:	CLINTON
State	:	NY
Zip	:	13323-1426
Country	:	US
Telephone Number	:	315-859-1470
Fax Number	:	315-853-3242

Provider Business Practice Location Address
First Line	:	1 KIRKLAND AVE
Second Line	:	SUITE 203
City	:	CLINTON
State	:	NY
Zip	:	13323-1426
Country	:	US
Telephone Number	:	315-859-1470
Fax Number	:	315-853-3242

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

Provider Enumeration Date	:	12/22/2010
Last Update Date	:	12/22/2010

Similar Medicare Providers

1497753230 — KARA KORFONTA PT
Practice Location Address:

1 KIRKLAND AVE , SUITE 201/202
CLINTON, NY
13323-1426

Practice Phone: 315-853-1401
Practice Fax: 315-853-7629

1386841351 — JANET RUSHING ZOGBY LCSW-R
Practice Location Address:

1 KIRKLAND AVE STE 103
CLINTON, NY
13323-1426

Practice Phone: 315-859-1481
Practice Fax: 315-859-1481

1700035722 — DR. JENNIFER SMITH MD
Practice Location Address:

1 KIRKLAND AVE STE 202
CLINTON, NY
13323-1426

Practice Phone: 315-381-3402
Practice Fax: 315-732-2315

1184955189 — JENNIFER L SMITH MD PLLC
Practice Location Address:

1 KIRKLAND AVE APT 302
CLINTON, NY
13323-1426

Practice Phone: 315-381-3402
Practice Fax: 315-732-2315

1194687954 — CATIE ANN THERESA KWAK
Practice Location Address:

19 ROBINSON RD
CLINTON, NY
13323-1418

Practice Phone: 315-853-6090
Practice Fax:

1629382411 — VALERIE LIGHTHALL LCSW-R
Practice Location Address:

10 NORTON AVE
CLINTON, NY
13323-1308

Practice Phone: 315-515-4445
Practice Fax:

Directions to “ MRS. JAQUELINE G MICHEL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.