MS. MICHELLE RENEE WILLIS MSW NPI 1790710432

NPI Information

  • NPI: 1790710432
  • Provider Name: MS. MICHELLE RENEE WILLIS, MSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 5570 STERRETT PL
    SUITE 101
    COLUMBIA, MD
    ZIP 21044
  • Phone: (410) 730-0552

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NPI Details

MS. Michelle Renee Willis, MSW is a clinical social worker in Columbia, MD. The provider is 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. MS. Michelle Renee Willis, MSW NPI is 1790710432. 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:

5570 STERRETT PL
SUITE 101
COLUMBIA, MD
ZIP 21044-641
Phone: (410) 730-0552
Fax: (410) 715-4720

The enumeration date for this NPI number is 7/11/2006 and was last updated on 5/22/2013.

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
11041C0700XSocial WorkerClinical12379MARYLANDYes

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
1010052800MEDICAIDMARYLAND
211605292OTHERMARSHALL ISLANDSCAQH
3600007429OTHERMARYLANDMAGELLEN HEALTHCARE

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: 3/30/2025

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