IndividualActive
Michelle Vidal, LICSW
NPI 1124362389 · Clinical Social Worker · Medford, MA
Michelle Vidal, LICSW is a Clinical Social Worker provider in Medford, MA (NPI 1124362389).
Provider details
- NPI number
- 1124362389
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 114943 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
170 Governors Ave
Lawrence Memorial Hospital
Medford, MA 02155-1643
Phone: (781) 306-6008
Approximate (ZIP-level) locationGet directions
Mailing address
170 Governors Ave
Medford, MA 02155-1643
Registry dates
- Enumerated
- 2012-11-12
- Last updated
- 2012-11-12
Frequently asked questions
- What is Michelle Vidal's NPI number?
- Michelle Vidal's National Provider Identifier (NPI) is 1124362389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Vidal's specialty?
- Michelle Vidal is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Michelle Vidal located?
- Michelle Vidal's practice location on file with NPPES is 170 Governors Ave, Medford, MA 02155-1643.
- What is Michelle Vidal's phone number?
- The practice phone number listed in the NPPES registry for Michelle Vidal is (781) 306-6008.
- Is Michelle Vidal's NPI active?
- Yes — Michelle Vidal's NPI (1124362389) is active in the NPPES registry as of the last update on 2012-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.