Provider Demographics
NPI:1841413358
Name:UGOLINI, MICHELLE LYNN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LYNN
Last Name:UGOLINI
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 1:531 BRENTWOOD RD SUITE 153
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-0269
Mailing Address - Country:US
Mailing Address - Phone:704-310-1480
Mailing Address - Fax:704-966-0135
Practice Address - Street 1:531 BRENTWOOD RD, SUITE 153 SUITE 153
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-6720
Practice Address - Country:US
Practice Address - Phone:704-310-1480
Practice Address - Fax:704-966-0135
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS217961041C0700X
NCC0120891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical