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NPI Code Detail

MEDICARE: MRS. CARA LOUISE SCHADE LMSW

MEDICARE: MRS. CARA LOUISE SCHADE 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
11041C0700XClinical Social Worker6801089046MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11010917OTHERMIMCLAREN HEALTH ADV
25609OTHERMIACCESS ALLIENCE

General Provider Information

NPI Number : 1306878665
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARA LOUISE SCHADE LMSW
Provider Business Mailing Address
First Line : 4604 N SAGINAW RD STE N2
Second Line :
City : MIDLAND
State : MI
Zip : 48640-2387
Country : US
Telephone Number : 989-204-5119
Fax Number :
Provider Business Practice Location Address
First Line : 4604 N SAGINAW RD STE N2
Second Line :
City : MIDLAND
State : MI
Zip : 48640-2387
Country : US
Telephone Number : 989-204-5119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 01/22/2024

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