MEDICARE: ERIKA L BEHM LLMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	1041C0700X	Clinical Social Worker	680110581	MI

General Provider Information

NPI Number	:	1033561964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA L BEHM LLMSW

Provider Business Mailing Address
First Line	:	PO BOX 52
Second Line	:
City	:	CLAYTON
State	:	MI
Zip	:	49235-0052
Country	:	US
Telephone Number	:	734-660-8673
Fax Number	:

Provider Business Practice Location Address
First Line	:	10969 S CHURCH ST
Second Line	:
City	:	CLAYTON
State	:	MI
Zip	:	49235-9760
Country	:	US
Telephone Number	:	734-660-8673
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2016
Last Update Date	:	10/02/2023

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