Provider Demographics
NPI:1467341586
Name:BADOT-FISHER, MICAELA
Entity type:Individual
Prefix:
First Name:MICAELA
Middle Name:
Last Name:BADOT-FISHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 TREMONT ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-3127
Mailing Address - Country:US
Mailing Address - Phone:978-317-2992
Mailing Address - Fax:
Practice Address - Street 1:68 TREMONT ST
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:MA
Practice Address - Zip Code:02129-3127
Practice Address - Country:US
Practice Address - Phone:978-317-2992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker