MEDICARE: MRS. MARIEDA A BISHOP MSW, ACSW

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	1041C0700X	Clinical Social Worker	CSW6801067390	MI

General Provider Information

NPI Number	:	1508059718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIEDA A BISHOP MSW, ACSW

Provider Business Mailing Address
First Line	:	1404 EATON RD
Second Line	:
City	:	BERKLEY
State	:	MI
Zip	:	48072-2063
Country	:	US
Telephone Number	:	248-398-2074
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 CATALPA DR
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-1125
Country	:	US
Telephone Number	:	248-398-2074
Fax Number	:

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

Provider Enumeration Date	:	08/21/2007
Last Update Date	:	12/15/2016

Similar Medicare Providers

1033063730 — RICHELLE K HAMBY-RYAN
Practice Location Address:

1110 CATALPA DR
ROYAL OAK, MI
48067-1125

Practice Phone: 248-797-6440
Practice Fax:

1891868444 — MR. CHARLIE FRANKLIN M.T.
Practice Location Address:

1112 CATALPA DR
ROYAL OAK, MI
48067-1125

Practice Phone: 248-569-6578
Practice Fax:

1922124783 — DR. KIRK DAVID DUNCAN PHD LLP LPC
Practice Location Address:

1110 CATALPA DR
ROYAL OAK, MI
48067-1125

Practice Phone: 248-915-4127
Practice Fax: 248-581-4280

1063600278 — DR. BRENDA KAREN LACOURSE PHD
Practice Location Address:

1112 CATALPA DR
ROYAL OAK, MI
48067-1125

Practice Phone: 248-414-7275
Practice Fax:

1861750747 — SHANNON WILD
Practice Location Address:

1110 CATALPA DR
ROYAL OAK, MI
48067-1125

Practice Phone: 248-971-0383
Practice Fax:

1538605019 — ADVANCED COUNSELING & RECOVERY LLC
Practice Location Address:

1110 CATALPA DR
ROYAL OAK, MI
48067-1125

Practice Phone: 248-915-4127
Practice Fax: 248-581-4280

Directions to “ MRS. MARIEDA A BISHOP MSW, ACSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.