Provider Demographics
NPI:1982944401
Name:MICHEL, NAOMI ANN (LMSW, LGSW)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:ANN
Last Name:MICHEL
Suffix:
Gender:
Credentials:LMSW, LGSW
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:
Other - Last Name:MARKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4342 15TH AVE S STE 206
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-1125
Mailing Address - Country:US
Mailing Address - Phone:218-227-5503
Mailing Address - Fax:
Practice Address - Street 1:4342 15TH AVE S STE 206
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-1125
Practice Address - Country:US
Practice Address - Phone:218-227-5503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-20
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN31048101YM0800X
ND6147101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health