Michelle Eubanks-Reshard, LCSW
Social Worker, Clinical in Elmont, NY. Individual provider (NPI-1).
NPI number1588093702
StatusActive
Last updated in NPPESFeb 20, 2014
Details
- NPI
- 1588093702
- Entity type
- Individual (NPI-1)
- Name
- Michelle Eubanks-Reshard
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 7, 2013
- Last updated
- Feb 20, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 070874-1 | NY | Yes |
Practice location
89 Queens AveElmont, NY 11003-4338
Phone 516-984-3564
Mailing address
360a West Merrick Rd,ste 209Valley Stream, NY 11580
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 28 Clinical Social Worker providers in Elmont · All 951 providers in Elmont
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