Provider Demographics
NPI:1629564083
Name:DOLINSKY, MICHELLE JILLIAN
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:JILLIAN
Last Name:DOLINSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 88106
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90009-8106
Mailing Address - Country:US
Mailing Address - Phone:860-335-2025
Mailing Address - Fax:
Practice Address - Street 1:1500 ROSECRANS AVE STE 500
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-3771
Practice Address - Country:US
Practice Address - Phone:866-474-7444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program