Healthcare Provider Details

I. General information

NPI: 1225046295
Provider Name (Legal Business Name): STEPHANIE CRANMER VELING MSW, LMSW, CAC 1 SAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15370 LEVAN SUITE 2
LIVONIA MI
48154-1137
US

IV. Provider business mailing address

2660 LAKERIDGE
WIXOM MI
48393
US

V. Phone/Fax

Practice location:
  • Phone: 734-744-0170
  • Fax: 734-744-0171
Mailing address:
  • Phone: 248-624-7626
  • Fax: 248-624-7626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number68010105491
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: