MEDICARE: CATHY O'BRIEN MSW

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	1041C0700X	Clinical Social Worker	6801093174	MI

General Provider Information

NPI Number	:	1639592355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY O'BRIEN MSW

Provider Business Mailing Address
First Line	:	PO BOX 427
Second Line	:
City	:	HILLMAN
State	:	MI
Zip	:	49746-0427
Country	:	US
Telephone Number	:	989-742-4583
Fax Number	:

Provider Business Practice Location Address
First Line	:	532 W ERIE ST
Second Line	:
City	:	ROGERS CITY
State	:	MI
Zip	:	49779-1635
Country	:	US
Telephone Number	:	989-734-5098
Fax Number	:

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

Provider Enumeration Date	:	01/31/2014
Last Update Date	:	02/04/2026

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Directions to “ CATHY O'BRIEN MSW” Practice Location

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