Provider Demographics
NPI:1245915743
Name:GULACHEK, MICHAELA HOPE (LMSW)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:HOPE
Last Name:GULACHEK
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 4TH ST SW APT 715
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-4489
Mailing Address - Country:US
Mailing Address - Phone:330-635-5557
Mailing Address - Fax:
Practice Address - Street 1:1802 BRIGHTSEAT RD
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-4232
Practice Address - Country:US
Practice Address - Phone:240-429-0989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker