MEDICARE: ADRIANA LIBURDI LMSW

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

General Provider Information

NPI Number	:	1821340985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA LIBURDI LMSW

Provider Business Mailing Address
First Line	:	PO BOX 67000
Second Line	:	DEPARTMENT 272801
City	:	DETROIT
State	:	MI
Zip	:	48267-2728
Country	:	US
Telephone Number	:	517-841-7490
Fax Number	:	517-841-6917

Provider Business Practice Location Address
First Line	:	1221 BOWERS ST UNIT 2230
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48012-7091
Country	:	US
Telephone Number	:	248-677-1516
Fax Number	:

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

Provider Enumeration Date	:	10/12/2012
Last Update Date	:	03/06/2026

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Directions to “ ADRIANA LIBURDI LMSW” Practice Location

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