Provider Demographics
NPI:1033340831
Name:HALPIN, MICHELLE MARGARET (LCSW)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARGARET
Last Name:HALPIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 THORNDYKE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-3805
Mailing Address - Country:US
Mailing Address - Phone:585-877-4325
Mailing Address - Fax:
Practice Address - Street 1:195 THORNDYKE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-3805
Practice Address - Country:US
Practice Address - Phone:405-823-3990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0943011041C0700X
NY079455104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker