MEDICARE: CATHY BELICH LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	6802080612	MI

General Provider Information

NPI Number	:	1235180050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY BELICH LMSW

Provider Business Mailing Address
First Line	:	467 N STATE ST
Second Line	:
City	:	CARO
State	:	MI
Zip	:	48723-1539
Country	:	US
Telephone Number	:	989-672-6160
Fax Number	:	989-672-5649

Provider Business Practice Location Address
First Line	:	651 N STATE ST
Second Line	:
City	:	CARO
State	:	MI
Zip	:	48723-1543
Country	:	US
Telephone Number	:	989-673-5700
Fax Number	:	989-672-2555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	10/30/2007

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Directions to “ CATHY BELICH LMSW” Practice Location

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