Provider Demographics
NPI:1114010642
Name:STOKES, DOROTHY (LMSW)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:STOKES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37637 W. 5 MILE ROAD
Mailing Address - Street 2:PMB #223
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154
Mailing Address - Country:US
Mailing Address - Phone:734-513-4100
Mailing Address - Fax:734-513-0900
Practice Address - Street 1:17318 FARMINGTON ROAD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152
Practice Address - Country:US
Practice Address - Phone:734-513-4100
Practice Address - Fax:734-513-0900
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2015-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010749371041C0700X
320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities