| Worthem Family Practice | |
|
28475 Greenfield Rd Suite 207 Southfield MI 48076-3034 | |
| (248) 298-9858 | |
| Not Available |
| Full Name | Worthem Family Practice |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 28475 Greenfield Rd, Southfield, Michigan |
| Authorized Official Name and Position | Shawnese M Walker-worthem (LICENSED SOCIAL WORKER) |
| Authorized Official Contact | 2482989858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Worthem Family Practice 28475 Greenfield Rd Suite 207 Southfield MI 48076-3034 Ph: (248) 298-9858 | Worthem Family Practice 28475 Greenfield Rd Suite 207 Southfield MI 48076-3034 Ph: (248) 298-9858 |
| NPI Number | 1629452651 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 07/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629452651 | NPI | - | NPPES |
| 1790908283 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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