MEDICARE: INTROSPECTIONS LLC

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	6801079987	MI

General Provider Information

NPI Number	:	1760880025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTROSPECTIONS LLC

Provider Business Mailing Address
First Line	:	7730 SMALE ST
Second Line	:
City	:	WASHINGTON
State	:	MI
Zip	:	48094-3501
Country	:	US
Telephone Number	:	586-776-8885
Fax Number	:

Provider Business Practice Location Address
First Line	:	7730 SMALE ST
Second Line	:
City	:	WASHINGTON
State	:	MI
Zip	:	48094-3501
Country	:	US
Telephone Number	:	586-776-8885
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	MS. DEBRA MIGLIAZZO
Credential	:	LMSW
Telephone Number	:	586-776-8885

Provider Enumeration Date	:	12/18/2014
Last Update Date	:	10/23/2025

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Directions to “INTROSPECTIONS LLC ” Practice Location

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