Provider Demographics
NPI:1558492884
Name:PERRY, MICHELLE L (MSW)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:PERRY
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 1:5601 PARKER HOUSE TER
Mailing Address - Street 2:UNIT 202
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2266
Mailing Address - Country:US
Mailing Address - Phone:203-209-3582
Mailing Address - Fax:
Practice Address - Street 1:4801 SARGENT RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2841
Practice Address - Country:US
Practice Address - Phone:202-832-7343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical