Provider Demographics
NPI:1245532233
Name:TURBIDE, MICHELLE A (LICSW)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:A
Last Name:TURBIDE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 REYNOLDS RD
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLE
Mailing Address - State:VT
Mailing Address - Zip Code:05458-2120
Mailing Address - Country:US
Mailing Address - Phone:802-372-8209
Mailing Address - Fax:
Practice Address - Street 1:51 REYNOLDS RD
Practice Address - Street 2:
Practice Address - City:GRAND ISLE
Practice Address - State:VT
Practice Address - Zip Code:05458-2120
Practice Address - Country:US
Practice Address - Phone:802-654-7607
Practice Address - Fax:802-654-9155
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.00012261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical