Provider Demographics
NPI:1033547690
Name:WITEK, CAITLYN MARIE (LMSW)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:MARIE
Last Name:WITEK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:MARIE
Other - Last Name:CASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:13730 ELGIN ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1100
Mailing Address - Country:US
Mailing Address - Phone:248-974-6565
Mailing Address - Fax:
Practice Address - Street 1:22555 GREENFIELD RD STE 550
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-3703
Practice Address - Country:US
Practice Address - Phone:844-576-9226
Practice Address - Fax:248-849-8313
Is Sole Proprietor?:No
Enumeration Date:2013-10-17
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010961901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical