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NPI Code Detail

MEDICARE: CAROL WEINBERG SMITH M.S.W.

MEDICARE: CAROL WEINBERG SMITH 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
11041C0700XClinical Social Worker6801019144MI

General Provider Information

NPI Number : 1649222696
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL WEINBERG SMITH M.S.W.
Provider Business Mailing Address
First Line : 37042 KIRKSHIRE CT
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48331-1836
Country : US
Telephone Number : 248-760-9060
Fax Number : 248-254-3780
Provider Business Practice Location Address
First Line : 37042 KIRKSHIRE CT
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48331-1836
Country : US
Telephone Number : 248-760-9060
Fax Number : 248-254-3780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 09/04/2020

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