MEDICARE: MR. ISAIAH SAENZ LMSW-C, CAADC-DP

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	6801121701	MI

General Provider Information

NPI Number	:	1205617594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ISAIAH SAENZ LMSW-C, CAADC-DP

Provider Business Mailing Address
First Line	:	4411 KING RD
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48601-7104
Country	:	US
Telephone Number	:	989-295-0633
Fax Number	:

Provider Business Practice Location Address
First Line	:	22170 W 9 MILE RD
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48033-6007
Country	:	US
Telephone Number	:	248-372-6800
Fax Number	:

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

Provider Enumeration Date	:	10/11/2023
Last Update Date	:	02/03/2026

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