Provider Demographics
NPI:1225046295
Name:VELING, STEPHANIE CRANMER (MSW, LMSW, CAC 1 SAP)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:CRANMER
Last Name:VELING
Suffix:
Gender:F
Credentials:MSW, LMSW, CAC 1 SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 LAKERIDGE
Mailing Address - Street 2:
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393
Mailing Address - Country:US
Mailing Address - Phone:248-624-7626
Mailing Address - Fax:248-624-7626
Practice Address - Street 1:15370 LEVAN
Practice Address - Street 2:SUITE 2
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1137
Practice Address - Country:US
Practice Address - Phone:734-744-0170
Practice Address - Fax:734-744-0171
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010105491104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker