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NPI Code Detail

MEDICARE: MR. JAMES N CASS JR. MSW

MEDICARE: MR. JAMES N CASS JR. MSW
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
11041C0700XClinical Social Worker6801058041MI

General Provider Information

NPI Number : 1225020985
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES N CASS JR. MSW
Provider Business Mailing Address
First Line : 28175 HAGGERTY RD
Second Line :
City : NOVI
State : MI
Zip : 48377-2903
Country : US
Telephone Number : 313-205-8860
Fax Number : 248-354-8336
Provider Business Practice Location Address
First Line : 28175 HAGGERTY RD
Second Line :
City : NOVI
State : MI
Zip : 48377-2903
Country : US
Telephone Number : 248-994-7668
Fax Number : 248-994-7652
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 04/24/2017

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