MEDICARE: MICHELLE CHRISTINE WEST

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	ASW114474	CA
2	1041C0700X	Clinical Social Worker	LMSW-22676	AZ

General Provider Information

NPI Number	:	1376311845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE CHRISTINE WEST

Provider Business Mailing Address
First Line	:	21704 DEVONSHIRE ST # 210
Second Line	:
City	:	CHATSWORTH
State	:	CA
Zip	:	91311-2903
Country	:	US
Telephone Number	:	818-917-5923
Fax Number	:

Provider Business Practice Location Address
First Line	:	2760 W PEORIA AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-5202
Country	:	US
Telephone Number	:	818-917-5923
Fax Number	:

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

Provider Enumeration Date	:	12/14/2023
Last Update Date	:	06/14/2025

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Directions to “ MICHELLE CHRISTINE WEST ” Practice Location

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