MICHELLE STOCKWELL TCADC NPI 1962968263

NPI Information

NPI: 1962968263
Provider Name: MICHELLE STOCKWELL, TCADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1527 ALBIA RD
OTTUMWA, IA
ZIP 52501
Phone: (641) 682-8772
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Michelle Stockwell, TCADC is an addiction (substance use disorder) counselor in Ottumwa, IA. Michelle Stockwell, TCADC NPI is 1962968263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1527 ALBIA RD
OTTUMWA, IA
ZIP 52501-907
Phone: (641) 682-8772
Fax: (641) 682-1924

The enumeration date for this NPI number is 2/12/2019 and was last updated on 2/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	T19000	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1659353670	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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