MEDICARE: CARE MATTERS, 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

General Provider Information

NPI Number	:	1902218662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE MATTERS, LLC

Provider Business Mailing Address
First Line	:	550 STEPHENSON HWY
Second Line	:	STE 250
City	:	TROY
State	:	MI
Zip	:	48083-1109
Country	:	US
Telephone Number	:	248-691-9036
Fax Number	:	248-691-9037

Provider Business Practice Location Address
First Line	:	550 STEPHENSON HWY
Second Line	:	STE 250
City	:	TROY
State	:	MI
Zip	:	48083-1109
Country	:	US
Telephone Number	:	248-691-9036
Fax Number	:	248-691-9037

Authorized Official
Title or Position	:	OWNER
Name	:	WENDY DENISE HOOKER
Credential	:	LCSW
Telephone Number	:	248-691-9036

Provider Enumeration Date	:	05/28/2014
Last Update Date	:	05/28/2014

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