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NPI Code Detail

MEDICARE: PATRICIA MARIE DELOUGHERTY LMSW

MEDICARE:   PATRICIA MARIE DELOUGHERTY  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
1104100000XSocial Worker6801103212MI
21041C0700XClinical Social Worker6801116597MI

General Provider Information

NPI Number : 1649604968
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA MARIE DELOUGHERTY LMSW
Provider Business Mailing Address
First Line : 45660 SCHOENHERR RD
Second Line :
City : SHELBY TOWNSHIP
State : MI
Zip : 48315-6033
Country : US
Telephone Number : 586-566-3020
Fax Number :
Provider Business Practice Location Address
First Line : 1460 WALTON BLVD STE 120
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-1779
Country : US
Telephone Number : 623-424-8844
Fax Number : 248-844-6237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2013
Last Update Date : 03/02/2026

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Directions to “ PATRICIA MARIE DELOUGHERTY LMSW” Practice Location

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