Provider Demographics
NPI:1144698655
Name:WEBB, MICHELLE (MSW)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2129 SILVER ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46012-1615
Mailing Address - Country:US
Mailing Address - Phone:765-748-3352
Mailing Address - Fax:
Practice Address - Street 1:2129 SILVER ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-1615
Practice Address - Country:US
Practice Address - Phone:765-748-3352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker