Provider Demographics
NPI:1669750568
Name:PEPPERS, MICHELL ANN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MICHELL
Middle Name:ANN
Last Name:PEPPERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MICHELL
Other - Middle Name:ANN
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 740019
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-0019
Mailing Address - Country:US
Mailing Address - Phone:312-733-9730
Mailing Address - Fax:
Practice Address - Street 1:1634 E 63RD ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-3502
Practice Address - Country:US
Practice Address - Phone:816-381-5648
Practice Address - Fax:816-281-1871
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
MO20120374311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker