MEDICARE: STEPHANIE MORGAN-STERENBERG LMSW, CLINICAL

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	6801115707	MI

General Provider Information

NPI Number	:	1073086294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MORGAN-STERENBERG LMSW, CLINICAL

Provider Business Mailing Address
First Line	:	9859 W OUTER DR
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48223-1734
Country	:	US
Telephone Number	:	313-327-2303
Fax Number	:

Provider Business Practice Location Address
First Line	:	26711 WOODWARD AVE STE 301
Second Line	:
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1369
Country	:	US
Telephone Number	:	313-327-3203
Fax Number	:

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

Provider Enumeration Date	:	01/10/2019
Last Update Date	:	09/17/2024

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