Provider Demographics
NPI:1235227216
Name:ZIELENSKI, MICHELLE GRAY (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:GRAY
Last Name:ZIELENSKI
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Gender:F
Credentials:LCSW-C
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Mailing Address - Street 1:1250 SW 27TH AVE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-4741
Mailing Address - Country:US
Mailing Address - Phone:305-642-5255
Mailing Address - Fax:305-642-8850
Practice Address - Street 1:12725 MCMANUS BLVD
Practice Address - Street 2:BLDG.2, SUITE F&G
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-4402
Practice Address - Country:US
Practice Address - Phone:757-874-1676
Practice Address - Fax:757-874-2226
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2008-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA09040058751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1235227216Medicaid
VA144754OtherANTHEM
VA1235227216Medicaid