Provider Demographics
NPI:1316293780
Name:POYE-SEAL, MICHELLE (LCSW-C)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:POYE-SEAL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21629 NATIONAL PIKE
Mailing Address - Street 2:
Mailing Address - City:BOONSBORO
Mailing Address - State:MD
Mailing Address - Zip Code:21713-1638
Mailing Address - Country:US
Mailing Address - Phone:301-305-1740
Mailing Address - Fax:301-668-1910
Practice Address - Street 1:138 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-4734
Practice Address - Country:US
Practice Address - Phone:301-305-1740
Practice Address - Fax:301-733-2432
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD187241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical