Healthcare Provider Details

I. General information

NPI: 1104749241
Provider Name (Legal Business Name): ANNMARIE CARUFEL LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6555 15 MILE RD
STERLING HEIGHTS MI
48312-4511
US

IV. Provider business mailing address

48310 VALLEY FORGE DR
MACOMB MI
48044-5504
US

V. Phone/Fax

Practice location:
  • Phone: 586-839-0570
  • Fax:
Mailing address:
  • Phone: 586-839-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851117897
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: