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NPI Code Detail

MEDICARE: MICHELLE NEVELS LCSW

MEDICARE: MICHELLE NEVELS 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
1104100000XSocial Worker7243KY
21041C0700XClinical Social Worker254395KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750828521
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE NEVELS LCSW
Provider Business Mailing Address
First Line : 106 BELINDA BLVD STE 100
Second Line :
City : DANVILLE
State : KY
Zip : 40422-3217
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 106 BELINDA BLVD STE 100
Second Line :
City : DANVILLE
State : KY
Zip : 40422-3217
Country : US
Telephone Number : 859-439-0340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2017
Last Update Date : 09/07/2019

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Directions to “ MICHELLE NEVELS LCSW” Practice Location

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