Healthcare Provider Details

I. General information

NPI: 1295836823
Provider Name (Legal Business Name): DEBRA SCHECK, MSW, CSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 06/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3694 CLARKSTON RD SUITE D
CLARKSTON MI
48348-5213
US

IV. Provider business mailing address

3791 KLAIS DR
CLARKSTON MI
48348-2359
US

V. Phone/Fax

Practice location:
  • Phone: 248-693-8880
  • Fax: 248-391-7478
Mailing address:
  • Phone: 248-693-8880
  • Fax: 248-391-7478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801021651
License Number StateMI

VIII. Authorized Official

Name: DEBRA ANN SCHECK
Title or Position: OWNER/CEO
Credential: LMSW, ACSW
Phone: 248-693-8880