Provider Demographics
NPI:1952730913
Name:TORTORA, MICHELLE B (LICSW)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:B
Last Name:TORTORA
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 1:15 MILL ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-1436
Mailing Address - Country:US
Mailing Address - Phone:978-777-3016
Mailing Address - Fax:
Practice Address - Street 1:58 CONCORD ST
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-2602
Practice Address - Country:US
Practice Address - Phone:978-766-8246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-09
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1261991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical