Provider Demographics
NPI:1992727176
Name:TOPAL, MICHELLE BETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:BETH
Last Name:TOPAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 ECK DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-4034
Mailing Address - Country:US
Mailing Address - Phone:919-360-1929
Mailing Address - Fax:714-276-6999
Practice Address - Street 1:111 WINDEL DR
Practice Address - Street 2:SUITE 213
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4475
Practice Address - Country:US
Practice Address - Phone:919-360-1929
Practice Address - Fax:714-276-6999
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0038911041C0700X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6003326Medicaid