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NPI Code Detail

MEDICARE: RIAZ CLARK LMSW

MEDICARE: RIAZ CLARK LMSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1225996192
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIAZ CLARK LMSW
Provider Business Mailing Address
First Line : 3300 WASHTENAW AVE STE 222
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-4261
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3300 WASHTENAW AVE STE 222
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-4261
Country : US
Telephone Number : 734-203-0183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

Similar Medicare Providers

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Practice Location Address:
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1538297965 — MS. JENNIFER BURGER LPC
Practice Location Address:
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Practice Fax:
1619652617 — MR. BRIAN JAMES TITUS LLPC
Practice Location Address:
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Practice Fax:
1154427789 — PREFERRED PROVIDERS, INC.
Practice Location Address:
4261 PARK RD
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48103-9508
Practice Phone: 734-213-7072
Practice Fax: 734-213-7790

Directions to “ RIAZ CLARK LMSW” Practice Location

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