Healthcare Provider Details

I. General information

NPI: 1891037537
Provider Name (Legal Business Name): KACIE RAE SCHUETTE LLMSW, CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2013
Last Update Date: 09/12/2021
Certification Date: 09/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 HALLMARK CT
SAGINAW MI
48603-2109
US

IV. Provider business mailing address

1217 S EUCLID AVE
BAY CITY MI
48706-3311
US

V. Phone/Fax

Practice location:
  • Phone: 989-746-7869
  • Fax: 989-746-7658
Mailing address:
  • Phone: 989-667-9661
  • Fax: 989-667-9680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801092294
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: