MEDICARE: MICHELLE KIRBY 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	44SL06855700	NJ

General Provider Information

NPI Number	:	1417719386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE KIRBY LCSW

Provider Business Mailing Address
First Line	:	307 MONMOUTH AVE
Second Line	:
City	:	SPRING LAKE
State	:	NJ
Zip	:	07762-1128
Country	:	US
Telephone Number	:	732-987-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	4539 US HIGHWAY 9
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3380
Country	:	US
Telephone Number	:	732-987-8200
Fax Number	:

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

Provider Enumeration Date	:	01/26/2024
Last Update Date	:	04/10/2026

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Directions to “ MICHELLE KIRBY LCSW” Practice Location

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