Michael James Polichetti, MSW, LISW

Clinical Social Worker · Niles, OH

Individual Active NPI

NPI number 1578092359

Practice location

165 E Park Ave
Niles, OH 44446-2352
Phone
(330) 544-8005
Fax
(330) 544-9379

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NPI record

NPI
1578092359
Entity type
Individual (Type 1)
Enumeration date
June 6, 2017
Last updated
June 5, 2024
Certified
June 5, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X I.2002052-SUPV OH

Mailing address

230 Heritage Ln
Cortland, OH 44410-1118
Phone
(716) 672-9411

About Michael Polichetti

Michael James Polichetti, MSW, LISW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 165 E Park Ave, Niles, OH 44446-2352. The NPI number 1578092359 was assigned on June 6, 2017 and the record was last updated on June 5, 2024.

Michael Polichetti lists a license in the registry: #I.2002052-SUPV (OH) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael James Polichetti, MSW, LISW?

The NPI number is 1578092359.

What is the phone number of Michael Polichetti?

The phone number listed for the practice location is (330) 544-8005.

Where is Michael Polichetti located?

165 E Park Ave, Niles, OH 44446-2352.

What is the taxonomy code for Michael Polichetti?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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