Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Marie Faddoul, LCSW16997

Individual provider Counselor · NPI 1548541253

Michelle Marie Faddoul, LCSW16997 is a Clinical Social Worker in Tucson, Arizona. Qualified in 2010, 16 years ago. Practices with Banner Alzheimers Institute, a 30-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and California.

Years since qualifying
16
Licensed in
AZ, CA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

2626 N River Rd
Tucson, AZ 85718
Phone: (520) 694-7021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9479 Haven Ave, Rancho Cucamonga, CA 91792 — (909) 771-8023

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16997 (AZ)
Counselor Taxonomy 101Y00000X · Licence 28831 (CA)

Record details

NPI number1548541253
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW16997
Sole proprietorYes
NPI enumeratedSeptember 8, 2011
Last updated in NPPESMay 4, 2020
Certification dateMay 4, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Banner Alzheimers Institute — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Tucson