Provider Demographics
NPI:1114024460
Name:SCHULTE, KAREN J (MSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:J
Last Name:SCHULTE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1639 E BIG BEAVER RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2053
Mailing Address - Country:US
Mailing Address - Phone:248-528-9000
Mailing Address - Fax:248-528-9005
Practice Address - Street 1:1639 E BIG BEAVER RD
Practice Address - Street 2:SUITE 201
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-2053
Practice Address - Country:US
Practice Address - Phone:248-528-9000
Practice Address - Fax:248-528-9005
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2008-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010074571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI14093OtherPRIORITY HEALTH/PREFERRED
11659486OtherCAQH
MI157655000OtherMAGELLAN FACILITY
MI8008985630OtherBCBS INDIVIDUAL FOR NEW FACILITY
MI4229896OtherAETNA
MI017226000OtherMAGELLAN INDIVIDUAL
MI040446OtherVALUE OPTIONS
MI0890161OtherBLUE CROSS BLUE SHIELD IN
MI69824530OtherUNITED BEHAVIORAL HEALTH/
MI7509107070OtherBLUE CROSS BLUE SHIELD FA
MI4229896OtherAETNA
MI7509107070OtherBLUE CROSS BLUE SHIELD FA
MIR65635Medicare UPIN