Doctor Name: | AMANDA CHARLIP |
NPI Number: | 1033589585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLMSW |
License Number: | 6801098489 |
Business Practice Address: | 7251 Danbury Dr West Bloomfield, MI - 483223581 |
Business Phone Number: | 2482299385 |
Business Fax Number: | |
Mailing Address: | 7251 Danbury Dr, WEST BLOOMFIELD |
State: | MI |
Postal Code: | 483223581 |
Phone Number: | 2482299385 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2015 |
NPI Last Update Date: | 09/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801098489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |