Healthcare Provider Details

I. General information

NPI: 1770144099
Provider Name (Legal Business Name): MICAL SARA LORENZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MICAL SARA ROBY LMSW

II. Dates (important events)

Enumeration Date: 06/26/2019
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41400 DEQUINDRE RD STE 110
STERLING HEIGHTS MI
48314-3751
US

IV. Provider business mailing address

6755 THOMPSON LN
WHITE LAKE MI
48383-3072
US

V. Phone/Fax

Practice location:
  • Phone: 586-580-2975
  • Fax: 586-580-2954
Mailing address:
  • Phone: 313-516-4760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801097065
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: