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NPI Code Detail

MEDICARE: ANNE RUTH MARKIEWICZ MSW,LICSW,CDP

MEDICARE: ANNE RUTH MARKIEWICZ MSW,LICSW,CDP
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 Worker6801069979MI
2101YA0400XAddiction (Substance Use Disorder) CounselorCP00004940WA
31041C0700XClinical Social WorkerLW00008039WA

General Provider Information

NPI Number : 1538204888
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE RUTH MARKIEWICZ MSW,LICSW,CDP
Provider Business Mailing Address
First Line : 2424 W WASHINGTON AVE STE 200
Second Line :
City : JACKSON
State : MI
Zip : 49203-1236
Country : US
Telephone Number : 517-205-4001
Fax Number : 517-205-0126
Provider Business Practice Location Address
First Line : 2424 W WASHINGTON AVE STE 200
Second Line :
City : JACKSON
State : MI
Zip : 49203-1236
Country : US
Telephone Number : 517-205-4001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 05/21/2024

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