Michelle Villa, MSW, LCSW, LCADC
Social Worker, Clinical in Manalapan, NJ. Individual provider (NPI-1).
NPI number1467100727
StatusActive
Last updated in NPPESOct 3, 2024
Details
- NPI
- 1467100727
- Entity type
- Individual (NPI-1)
- Name
- Michelle Villa
- Credential
- MSW, LCSW, LCADC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2022
- Certification date
- Oct 3, 2024
- Last updated
- Oct 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC06222100 | NJ | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 37LC00394200 | NJ | |
| 1041C0700X | Social Worker, Clinical | CW024600 | PA |
Practice location
500 Craig Rd Ste 100Manalapan, NJ 07726-8748
Phone 856-403-8311
Mailing address
Po Box 5282Old Bridge, NJ 08857-5282
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