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NPI Code Detail

MEDICARE: KATHERINE LOVELL LMSW-C

MEDICARE:   KATHERINE  LOVELL  LMSW-C
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
1247200000XOther Technician
2106S00000XBehavior Technician
31041C0700XClinical Social Worker6801104280MI

General Provider Information

NPI Number : 1730588765
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE LOVELL LMSW-C
Provider Business Mailing Address
First Line : 44515 ERIK PASS
Second Line :
City : PLYMOUTH
State : MI
Zip : 48170-3975
Country : US
Telephone Number : 734-512-7122
Fax Number :
Provider Business Practice Location Address
First Line : 49396 CHESHIRE LN
Second Line :
City : CANTON
State : MI
Zip : 48187-1262
Country : US
Telephone Number : 734-512-7122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2014
Last Update Date : 02/03/2026

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Directions to “ KATHERINE LOVELL LMSW-C” Practice Location

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