MEDICARE: DEBORAH HELENE GOTTLIEB-PORLICK LMSW, CAC

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	6801066201	MI
2	1041C0700X	Clinical Social Worker	1900	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8008978790	OTHER	MI	BCBSM PIN NO.

General Provider Information

NPI Number	:	1922148873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH HELENE GOTTLIEB-PORLICK LMSW, CAC

Provider Business Mailing Address
First Line	:	766 W GRAND RIVER AVE
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48116-2392
Country	:	US
Telephone Number	:	810-229-1630
Fax Number	:

Provider Business Practice Location Address
First Line	:	766 W GRAND RIVER AVE
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48116-2392
Country	:	US
Telephone Number	:	810-229-1630
Fax Number	:

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

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1093640492 — KRISTOPHER REILLY PT, DPT
Practice Location Address:

740 W GRAND RIVER AVE
BRIGHTON, MI
48116-2392

Practice Phone: 810-227-3588
Practice Fax:

1063440204 — MR. WILLIAM L BURNES LMSW, ACSW, CAADC
Practice Location Address:

794 W GRAND RIVER AVE
BRIGHTON, MI
48116-2392

Practice Phone: 248-231-3568
Practice Fax:

1720181175 — DR. DENISE LYNN HANDELSMAN D.O.
Practice Location Address:

780 W GRAND RIVER AVE , BRIGHTON PSYCHIATRIC CONSULTANTS, PLLC
BRIGHTON, MI
48116-2392

Practice Phone: 810-494-7189
Practice Fax: 810-494-7126

1841341088 — MS. SUSAN N EVANS LMSW
Practice Location Address:

792 W GRAND RIVER AVE
BRIGHTON, MI
48116-2392

Practice Phone: 810-333-2588
Practice Fax:

1174780324 — BINA VICTOR PT
Practice Location Address:

740 W GRAND RIVER AVE
BRIGHTON, MI
48116-2392

Practice Phone: 810-227-3588
Practice Fax: 810-626-4045

1497985907 — JODI KATHLEEN THOMPSON DPT
Practice Location Address:

740 W GRAND RIVER AVE
BRIGHTON, MI
48116-2392

Practice Phone: 810-227-3588
Practice Fax: 734-449-4669

Directions to “ DEBORAH HELENE GOTTLIEB-PORLICK LMSW, CAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.