Healthcare Provider Details

I. General information

NPI: 1568766475
Provider Name (Legal Business Name): APRIL CENO LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2011
Last Update Date: 07/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 E BIG BEAVER RD
TROY MI
48083-1905
US

IV. Provider business mailing address

1225 E BIG BEAVER RD
TROY MI
48083-1905
US

V. Phone/Fax

Practice location:
  • Phone: 248-524-8801
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801092640
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: