MICHELLE MARIE KILCOYNE (NPI# 1477067932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477067932 |
| Entity Type | Individual |
| Full Name | MICHELLE MARIE KILCOYNE |
| Credential | LCSW |
| Practice Address |
636 Clarion Ct Ste 103 San Luis Obispo CA 93401-9107 |
| Mailing Address |
Po Box 4641 San Luis Obispo CA 93403-4641 |
| Practice Telephone | 8055508717 |
| Mailing Telephone | 8055508717 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
75239 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295273340 | Michelle M. Kilcoyne | Psychologist | 2812 Mack Rd, Fairfield, OH 45014-5130 | 2017-02-09 |
| Street Address |
636 CLARION CT STE 103 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-9107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942832589 | Robert Drew Washer | Social Worker | 419 Sandercock St, San Luis Obispo, CA 93401-5145 | 2020-02-11 |
| 1730728486 | Megan Elise Richert | Social Worker | 867 Pacific St Ste 220, San Luis Obispo, CA 93401-6313 | 2019-12-29 |
| 1831666239 | Andrea Neal Heinlein | Social Worker | 55 S Tassajara Dr, San Luis Obispo, CA 93405-1559 | 2018-10-24 |
| 1124511647 | William E. Watson | Social Worker | Colony Drive, San Luis Obispo, CA 93409-0001 | 2018-06-09 |
| 1255883591 | Miriam Ribeiro | Social Worker | Coloony Dr, San Luis Obispo, CA 93409-8101 | 2016-11-03 |
| 1558718072 | Michael Rodgers | Social Worker | 3000 Augusta St Apt 152, San Luis Obispo, CA 93401-5836 | 2016-05-16 |
| 1700247574 | Katherine Zeiss | Social Worker | 1288 Morro Street, Ste. 200, Veterans Administration Cboc, San Luis Obispo, CA 93401 | 2016-03-08 |
| 1326419425 | Nell Bennett | Social Worker | 956 Walnut St Ste 200, San Luis Obispo, CA 93401-1707 | 2015-10-14 |
| 1891104493 | Amy Lee Consolati | Social Worker | 1530 Santa Rosa St, Apartment 7, San Luis Obispo, CA 93401-3750 | 2014-08-07 |
| 1306256128 | Jody Michelle Poquette | Social Worker | California Mens Colony State Prison, Hwy 1, San Luis Obispo, CA 93409-0001 | 2014-05-01 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on MICHELLE MARIE KILCOYNE.
| 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.