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

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

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