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NPI Code Detail

MEDICARE: BROOKE APRIL MICHELSEN LCSW

MEDICARE:   BROOKE APRIL MICHELSEN  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
11041C0700XClinical Social WorkerC017260NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C017260OTHERNCLCSW

General Provider Information

NPI Number : 1356947261
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE APRIL MICHELSEN LCSW
Provider Business Mailing Address
First Line : 377 HARBIN RD
Second Line :
City : ZIONVILLE
State : NC
Zip : 28698-9789
Country : US
Telephone Number : 980-399-7055
Fax Number :
Provider Business Practice Location Address
First Line : 210 13TH AVENUE PL NW STE 114
Second Line :
City : HICKORY
State : NC
Zip : 28601-2568
Country : US
Telephone Number : 980-399-7055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2020
Last Update Date : 03/10/2026

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Directions to “ BROOKE APRIL MICHELSEN LCSW” Practice Location

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