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NPI Code Detail

MEDICARE: MS. SOPHIA KATHERINE BADGLEY LMSW

MEDICARE:  MS. SOPHIA KATHERINE BADGLEY  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 Worker6801110573MI

General Provider Information

NPI Number : 1447735212
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SOPHIA KATHERINE BADGLEY LMSW
Provider Business Mailing Address
First Line : 121 LOCKWOOD ST
Second Line :
City : SAGINAW
State : MI
Zip : 48602-3025
Country : US
Telephone Number : 989-233-3694
Fax Number :
Provider Business Practice Location Address
First Line : 3665 BAY RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2445
Country : US
Telephone Number : 989-799-6542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2018
Last Update Date : 01/05/2026

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Directions to “ MS. SOPHIA KATHERINE BADGLEY LMSW” Practice Location

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