Healthcare Provider Details

I. General information

NPI: 1639192628
Provider Name (Legal Business Name): SABRINA CESAIRE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25820 SOUTHFIELD RD STE. 111
SOUTHFIELD MI
48075-1826
US

IV. Provider business mailing address

9336 FELCH ST
DETROIT MI
48213-3178
US

V. Phone/Fax

Practice location:
  • Phone: 248-559-1763
  • Fax: 248-559-1764
Mailing address:
  • Phone: 313-283-2154
  • Fax: 743-728-4278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801078670
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: