Judith H Mickenberg, LICSW is a
Counselor - Mental Health based in Hinsdale, Massachusetts. Judith H Mickenberg is licensed to practice in Massachusetts (license number 111876) and her current practice location is
45 Forest Hill Dr, Hinsdale, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 250-5754.
NPI number for Judith H Mickenberg is 1346052362 and her current mailing address is 45 Forest Hill Dr, Hinsdale, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346052362.
Healthcare Provider's Profile
Full Name | Judith H Mickenberg |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 45 Forest Hill Dr, Hinsdale, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346052362
- Provider Enumeration Date: 01/25/2025
- Last Update Date: 01/25/2025
Medical Identifiers
Medical identifiers for Judith H Mickenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346052362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 111876 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Judith H Mickenberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Judith H Mickenberg, LICSW 45 Forest Hill Dr, Hinsdale, MA 01235-3503 Ph: (508) 250-5754 | Judith H Mickenberg, LICSW 45 Forest Hill Dr, Hinsdale, MA 01235-3503 Ph: (508) 250-5754 |
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