Provider Demographics
NPI:1285710343
Name:BEGAY, MICHELLE L (MSW)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:BEGAY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2097
Mailing Address - Street 2:
Mailing Address - City:CROWNPOINT
Mailing Address - State:NM
Mailing Address - Zip Code:87313-2097
Mailing Address - Country:US
Mailing Address - Phone:928-729-8525
Mailing Address - Fax:928-729-8530
Practice Address - Street 1:FORT DEFIANCE INDIAN HOSPITAL
Practice Address - Street 2:CORNER OF RT N12 & N7
Practice Address - City:FT. DEFIANCE
Practice Address - State:AZ
Practice Address - Zip Code:86504
Practice Address - Country:US
Practice Address - Phone:928-729-8525
Practice Address - Fax:928-729-8530
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-4342104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker