MR. MICHAEL JAMES POLICHETTI (MSW, LISW) – Social Worker, NPI 1578092359

MR. MICHAEL JAMES POLICHETTI (MSW, LISW) is a healthcare provider. based in Niles, Ohio. specializing in Social Worker. They hold the professional credentials MSW, LISW. They hold a License No. I.2002052-SUPV (OH). The NPI Number for MR. MICHAEL JAMES POLICHETTI (MSW, LISW) is 1578092359

Main info

Male
Sole Proprietor
Name
MR. MICHAEL JAMES POLICHETTI (MSW, LISW)
NPI
1578092359
Phone
(330) 544-8005
Address
165 E PARK AVE
Enumeration Date
6 June 2017
Last Update Date
5 June 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for MR. MICHAEL JAMES POLICHETTI (MSW, LISW)

  • 165, East Park Avenue, South Niles, Niles, Trumbull County, Ohio, 44446, United States

    NILES, OH 444462352

    Phone: (330) 544-8005

    Type: Mailing

  • 230 HERITAGE LN

    CORTLAND, OH 444101118

    Phone: (716) 672-9411

    Type: Mailing

  • 1044 BELMONT AVE

    YOUNGSTOWN, OH 445041006

    Phone: (330) 480-8015

    Fax: (330) 480-8049

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210527002373IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44446)

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Reviews

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Frequently asked questions

Is MR. MICHAEL JAMES POLICHETTI (MSW, LISW) listed with a National Provider Identifier?
Yes — MR. MICHAEL JAMES POLICHETTI (MSW, LISW) has NPI 1578092359 on file in the registry.
Is there an active status for MR. MICHAEL JAMES POLICHETTI (MSW, LISW)?
For scheduling context, MR. MICHAEL JAMES POLICHETTI (MSW, LISW) is shown as active in the registry.
What clinical focus is listed for MR. MICHAEL JAMES POLICHETTI (MSW, LISW)?
At a glance, MR. MICHAEL JAMES POLICHETTI (MSW, LISW) is tied to Social Worker. Clinical services aligned with this taxonomy classification.
Where in Ohio is MR. MICHAEL JAMES POLICHETTI (MSW, LISW) registered?
Use Niles, Ohio as the headline location for MR. MICHAEL JAMES POLICHETTI (MSW, LISW) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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