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

Michelle Vidal, LICSW

Individual provider Clinical Social Worker · NPI 1124362389

Michelle Vidal, LICSW is a Clinical Social Worker in Medford, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2012.

Licensed in
MA
In the registry since
2012
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

170 Governors Ave Lawrence Memorial Hospital
Medford, MA 02155-1643
Phone: (781) 306-6008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 114943 (MA)

Record details

NPI number1124362389
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 12, 2012
Last updated in NPPESNovember 12, 2012
Mailing address170 Governors Ave, Lawrence Memorial Hospital, Medford, MA 02155-1643

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