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NPI Code Detail

MEDICARE: REBECCA LYNN MAFFETONE LMSW, CAADC, CCS-M

MEDICARE:   REBECCA LYNN MAFFETONE  LMSW, CAADC, CCS-M
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
11041C0700XClinical Social Worker6801074044MI

General Provider Information

NPI Number : 1992827190
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA LYNN MAFFETONE LMSW, CAADC, CCS-M
Provider Business Mailing Address
First Line : 7730 SMALE ST
Second Line :
City : WASHINGTON
State : MI
Zip : 48094-3501
Country : US
Telephone Number : 586-604-1339
Fax Number : 586-731-0698
Provider Business Practice Location Address
First Line : 7730 SMALE ST
Second Line :
City : WASHINGTON
State : MI
Zip : 48094-3501
Country : US
Telephone Number : 586-604-1339
Fax Number : 586-731-0698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 10/08/2021

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Directions to “ REBECCA LYNN MAFFETONE LMSW, CAADC, CCS-M” Practice Location

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