MRS. MICHELLE LEE DUNHAM (NPI# 1306370481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306370481 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE LEE DUNHAM |
| Other Name | MS. MICHELLE LEE SVRCEK |
| Credential | CASAC |
| Practice Address |
1062 State Route 38 Owego NY 13827-3209 |
| Mailing Address |
3687 Waits Rd Owego NY 13827-6547 |
| Practice Telephone | 6076878145 |
| Practice Fax Number | 6076876396 |
| Mailing Telephone | 6076878145 |
| Mailing Fax Number | 6076876396 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18532 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02249145 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851773048 | Michelle Lee Dunham | Counselor | 1425 S Glenburnie Rd Ste 3, New Bern, NC 28562-2610 | 2015-06-24 |
| 1295130326 | Michelle Dunham | Social Worker | 726 South Blvd Apt 6, Lakeland, FL 33801-5589 | 2014-10-31 |
| 1174989768 | Michelle Dunham | Physical Therapy Assistant | 1215 S Western Rd, Stillwater, OK 74074-5151 | 2016-01-12 |
| Street Address |
1062 STATE ROUTE 38 |
| City | OWEGO |
| State | NY |
| Zip Code | 13827-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760463046 | Tioga County | Home Health | 1062 State Route 38, Owego, NY 13827-3209 | 2005-11-14 |
| 1245847904 | Alexander William Powers | Social Worker | 1062 State Route 38, Owego, NY 13827-3209 | 2020-09-28 |
| 1023632908 | Jessica Lm Matthews | Social Worker | 1062 State Route 38, Owego, NY 13827-3209 | 2020-06-05 |
| 1215556642 | Porshea Linnette Moore | Peer Specialist | 1062 State Route 38, Owego, NY 13827-3209 | 2020-04-15 |
| 1740827393 | Maureen Doty Birney | Social Worker | 1062 State Route 38, Owego, NY 13827-3209 | 2019-12-03 |
| 1548802903 | Brittany I Santos | Social Worker | 1062 State Route 38, Owego, NY 13827-3209 | 2019-10-16 |
| 1477102259 | Alysia Diane Palmer | Counselor | 1062 State Route 38, Owego, NY 13827-3209 | 2019-09-05 |
| 1730745977 | Meagan Ferguson | Early Intervention Provider Agency | 1062 State Route 38, Owego, NY 13827-3209 | 2019-05-14 |
| 1972073120 | Ashley Marie Coney | Case Manager/Care Coordinator | 1062 State Route 38, Owego, NY 13827-3209 | 2018-11-30 |
| 1972079549 | Janeille Franzenburg Williams | Social Worker | 1062 State Route 38, Owego, NY 13827-3209 | 2018-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003390451 | Michele Smith Morey | Licensed Practical Nurse | 4476 Rt38, Owego, NY 13827 | 2018-09-21 |
| 1811487259 | Kaitlin Osborne | Specialist/Technologist | 1 Sheldon Guile Blvd, Owego, NY 13827 | 2018-05-11 |
| 1306388244 | Susan Medina | Dental Hygienist | 1062 State Rt 38, Suite 120, Owego, NY 13827 | 2016-11-09 |
| 1063775476 | Kimberly Anne Derouchie | Early Intervention Provider Agency | 1062 Rt. 38, Owego, NY 13827 | 2012-06-20 |
| 1992020713 | Christy Bianconi | Social Worker | 819 S. Salina St., Syracuse, NY 13827 | 2010-04-05 |
| 1578793543 | Donna Marie Delvecchio | Pharmacist | 39 Park Avenue, Owego, NY 13827 | 2009-07-23 |
| 1689827875 | Jennifer Iglthaler | Occupational Therapist | 1695 Glen Allen Road, Owego, NY 13827 | 2008-10-31 |
| 1104079698 | Mary N. Gilfoyle | Speech-Language Pathologist | 1 Christa Mcauliffe Drive, Owego, NY 13827 | 2008-10-28 |
| 1710026042 | Delos Christian Aumock | Dentist | 230 Front St, Owego, NY 13827 | 2007-02-05 |
| 1043357957 | Anthony Owens | Counselor | 8 Lincolnshire Blvd, Owego, NY 13827 | 2007-01-31 |
| Find all providers in zip 13827 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841623832 | John T. Novick | Counselor | 1062 Ste. Rte. 38, Owego, NY 13872-0177 | 2013-08-14 |
| 1477102259 | Alysia Diane Palmer | Counselor | 1062 State Route 38, Owego, NY 13827-3209 | 2019-09-05 |
| 1114388345 | Christopher Allis | Counselor | 1062 State Route 38, Owego, NY 13827-3209 | 2016-03-16 |
| 1497126247 | Merrit Hartblay | Counselor | 1062 State Route 38, Owego, NY 13827-3209 | 2015-10-19 |
| 1538491725 | Cathy Tanenhaus | Counselor | 1062 State Route 38, Owego, NY 13827 | 2010-02-12 |
| 1437482221 | Lisa B. Willson | Counselor | 1062 State Route 38, Owego, NY 13827 | 2009-09-10 |
| 1922263110 | Michael N Korba | Counselor | 1062 State Route 38, Owego, NY 13827-3209 | 2008-07-28 |
| 1154585206 | Stephanie M. Gale | Counselor | 1062 State Route 38, Owego, NY 13827-3209 | 2008-07-17 |
| 1083751119 | Sharon Y. Williams-como | Counselor | 1062 State Route 38, Owego, NY 13827 | 2007-01-30 |
| 1285789180 | Michael David Cooke | Counselor | 1062 State Route 38, Owego, NY 13827 | 2007-01-24 |
| Find all providers in OWEGO | ||||
Please comment or provide details below to improve the information on MRS. MICHELLE LEE DUNHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.