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NPI Code Detail

MEDICARE: MRS. MICHELE A WALSH LCSW

MEDICARE:  MRS. MICHELE A WALSH  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 Worker44SC06370600NJ

General Provider Information

NPI Number : 1972335420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELE A WALSH LCSW
Provider Business Mailing Address
First Line : 83 SPRING ST STE 303
Second Line :
City : NEWTON
State : NJ
Zip : 07860-2080
Country : US
Telephone Number : 973-289-9496
Fax Number :
Provider Business Practice Location Address
First Line : 83 SPRING ST STE 303
Second Line :
City : NEWTON
State : NJ
Zip : 07860-2080
Country : US
Telephone Number : 973-840-1850
Fax Number : 973-383-0256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2024
Last Update Date : 08/14/2024

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Directions to “ MRS. MICHELE A WALSH LCSW” Practice Location

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