MEDICARE: HOPE MICHELE EVELYN MSW, 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	013737	CT

General Provider Information

NPI Number	:	1306623624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOPE MICHELE EVELYN MSW, LCSW

Provider Business Mailing Address
First Line	:	8 WESTVIEW DR APT H
Second Line	:
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-3459
Country	:	US
Telephone Number	:	860-913-8651
Fax Number	:

Provider Business Practice Location Address
First Line	:	675 COTTAGE GROVE RD
Second Line	:
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-3033
Country	:	US
Telephone Number	:	860-913-8651
Fax Number	:

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

Provider Enumeration Date	:	09/11/2023
Last Update Date	:	03/10/2026

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