Healthcare Provider Details

I. General information

NPI: 1902380181
Provider Name (Legal Business Name): GRETA ELIZABETH KAEMPF LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2018
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20600 EUREKA RD STE 800
TAYLOR MI
48180-5343
US

IV. Provider business mailing address

13101 ALLEN RD
SOUTHGATE MI
48195-2216
US

V. Phone/Fax

Practice location:
  • Phone: 734-734-7700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801108124
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: