MEDICARE: ALISHA RAE MCCABE L.M.S.W.

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	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	104100000X	Social Worker	6801096916	MI
3	1041C0700X	Clinical Social Worker	6801096916	MI
4	1041C0700X	Clinical Social Worker	6801098084	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356658579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISHA RAE MCCABE L.M.S.W.

Provider Business Mailing Address
First Line	:	6322 E HORSESHOE TRL
Second Line	:
City	:	LINDEN
State	:	MI
Zip	:	48451-8939
Country	:	US
Telephone Number	:	810-922-1808
Fax Number	:

Provider Business Practice Location Address
First Line	:	17100 SILVER PKWY STE D
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-3468
Country	:	US
Telephone Number	:	810-208-0378
Fax Number	:	810-963-1917

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

Provider Enumeration Date	:	09/09/2010
Last Update Date	:	12/12/2024

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Directions to “ ALISHA RAE MCCABE L.M.S.W.” Practice Location

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