Healthcare Provider Details

I. General information

NPI: 1033621180
Provider Name (Legal Business Name): MARWA HAMMOUD LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2017
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6841 ROSEMARY ST
DEARBORN HEIGHTS MI
48127-1928
US

IV. Provider business mailing address

6841 ROSEMARY ST
DEARBORN HEIGHTS MI
48127-1928
US

V. Phone/Fax

Practice location:
  • Phone: 313-522-0968
  • Fax:
Mailing address:
  • Phone: 313-522-0968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801101446
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: