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NPI Code Detail

MEDICARE: MICHELLE CASSIA ALBUQUERQUE LCSW

MEDICARE: MICHELLE CASSIA ALBUQUERQUE 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 WorkerLCSW103041CA

General Provider Information

NPI Number : 1730656679
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE CASSIA ALBUQUERQUE LCSW
Provider Business Mailing Address
First Line : 151 W SWAINSON AVE
Second Line :
City : SARATOGA SPRINGS
State : UT
Zip : 84045-6461
Country : US
Telephone Number : 760-608-3818
Fax Number :
Provider Business Practice Location Address
First Line : 5373 S GREEN ST
Second Line :
City : MURRAY
State : UT
Zip : 84123-4680
Country : US
Telephone Number : 801-442-2670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2018
Last Update Date : 09/07/2025

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Directions to “ MICHELLE CASSIA ALBUQUERQUE LCSW” Practice Location

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