Ms Kathleen Marie Cavanaugh, MSW CADC M | |
3650 Dixie Hwy, Waterford, MI 48329-4290 | |
(248) 674-4630 | |
Not Available |
Full Name | Ms Kathleen Marie Cavanaugh |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 3650 Dixie Hwy, Waterford, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518238385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Catholic Charities Of Southeast Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316283757 PECOS PAC ID: 0042450553 Enrollment ID: O20130705000282 |
Mailing Address | Practice Location Address |
---|---|
Ms Kathleen Marie Cavanaugh, MSW CADC M 2412 Woodbourne Dr, Waterford, MI 48329-2472 Ph: (248) 259-1101 | Ms Kathleen Marie Cavanaugh, MSW CADC M 3650 Dixie Hwy, Waterford, MI 48329-4290 Ph: (248) 674-4630 |
Miss Jessica Brooke Porter, B.S, FAODP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1435 N Oakland Blvd, Waterford, MI 48327 Phone: 248-666-2720 | |
Mr. Jimmie Lee Lester, AAS, CAC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1435 N Oakland Blvd, Waterford, MI 48327 Phone: 248-406-0090 Fax: 248-666-8822 | |
Barbara Robertson, MA, LPC, LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 Howe Ct, Waterford, MI 48329 Phone: 248-623-6738 | |
Laura Ibarra, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 269 Summit Dr, Waterford, MI 48328 Phone: 248-681-1940 | |
Shawn Graham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 N Oakland Blvd, Waterford, MI 48327 Phone: 248-406-0090 | |
Charles Weems, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 Phone: 248-406-0090 | |
Sheryl L Schumacher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Scott Lake Rd, Waterford, MI 48328 Phone: 248-766-0856 |