Provider Demographics
NPI:1881901221
Name:ATKINS, MICHELLE AMBER (LCSW)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:AMBER
Last Name:ATKINS
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 1:255 PICO AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-3712
Mailing Address - Country:US
Mailing Address - Phone:760-650-8748
Mailing Address - Fax:
Practice Address - Street 1:255 PICO AVE STE 250
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-3712
Practice Address - Country:US
Practice Address - Phone:760-650-8748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA289701041C0700X
CA608051041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical