Healthcare Provider Details

I. General information

NPI: 1609187541
Provider Name (Legal Business Name): KAREN MARIE CHITWOOD LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 N MITCHELL ST
CADILLAC MI
49601-1879
US

IV. Provider business mailing address

PO BOX 42
CADILLAC MI
49601-0042
US

V. Phone/Fax

Practice location:
  • Phone: 231-360-5447
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801090710
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: