Provider Demographics
NPI:1053403667
Name:FELGAR, MICHELLE ANNETTE (MA, LISW)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:ANNETTE
Last Name:FELGAR
Suffix:
Gender:F
Credentials:MA, LISW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18960 COFFINBERRY BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-1602
Mailing Address - Country:US
Mailing Address - Phone:440-244-3833
Mailing Address - Fax:440-244-5347
Practice Address - Street 1:5700 PEARL RD
Practice Address - Street 2:STE 102
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-2537
Practice Address - Country:US
Practice Address - Phone:440-845-5023
Practice Address - Fax:110-845-5024
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.00312421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical