Provider Demographics
NPI:1679988539
Name:MILLIGAN, M MICHELLE (LCSW)
Entity type:Individual
Prefix:MS
First Name:M MICHELLE
Middle Name:
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 MILLTOWN RD STE 7
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4047
Mailing Address - Country:US
Mailing Address - Phone:302-416-6805
Mailing Address - Fax:302-533-6011
Practice Address - Street 1:1601 MILLTOWN RD
Practice Address - Street 2:STE 7
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4047
Practice Address - Country:US
Practice Address - Phone:302-416-6805
Practice Address - Fax:302-533-6011
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-29
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3608101YM0800X
VT08901358TELE101YM0800X
UT13728169-35011041C0700X
DEQ1-0001297101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical