MEDICARE: MONICA YNETTE RICH-MCLAURIN

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	104100000X	Social Worker	5299C	AL
2	104100000X	Social Worker	6801092967	MI
3	1041C0700X	Clinical Social Worker	6801092967	MI
4	1041C0700X	Clinical Social Worker	5299C	AL

General Provider Information

NPI Number	:	1609297233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA YNETTE RICH-MCLAURIN

Provider Business Mailing Address
First Line	:	6372 EASTBROOKE
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-1042
Country	:	US
Telephone Number	:	313-595-2371
Fax Number	:	248-671-0383

Provider Business Practice Location Address
First Line	:	1101 MCMURTRIE DR NW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-2469
Country	:	US
Telephone Number	:	205-582-4085
Fax Number	:

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

Provider Enumeration Date	:	12/27/2013
Last Update Date	:	08/01/2025

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