MEDICARE: ANTHONY J FIERRO

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	6801120756	MI

General Provider Information

NPI Number	:	1821258526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY J FIERRO

Provider Business Mailing Address
First Line	:	30745 RED MAPLE LN
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-5354
Country	:	US
Telephone Number	:	313-473-0778
Fax Number	:

Provider Business Practice Location Address
First Line	:	30745 RED MAPLE LN
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-5354
Country	:	US
Telephone Number	:	313-473-0778
Fax Number	:

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

Provider Enumeration Date	:	06/16/2008
Last Update Date	:	09/10/2025

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