Healthcare Provider Details

I. General information

NPI: 1821905118
Provider Name (Legal Business Name): ANNE OSSEWAARDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 WAUKEGAN ST
AUBURN HILLS MI
48326-3261
US

IV. Provider business mailing address

221 EDGEWOOD PL
FERNDALE MI
48220-2466
US

V. Phone/Fax

Practice location:
  • Phone: 248-537-6130
  • Fax:
Mailing address:
  • Phone: 734-649-2648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6801098445
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: