Provider Demographics
NPI:1235594565
Name:CATENACCI, MARIE ASAKO (MSW, LMSW)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:ASAKO
Last Name:CATENACCI
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 SOUTH MILFORD ROAD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48357
Mailing Address - Country:US
Mailing Address - Phone:248-889-4300
Mailing Address - Fax:248-889-4305
Practice Address - Street 1:1050 SOUTH MILFORD ROAD
Practice Address - Street 2:SUITE 205
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48357
Practice Address - Country:US
Practice Address - Phone:248-889-4300
Practice Address - Fax:248-889-4305
Is Sole Proprietor?:No
Enumeration Date:2015-12-31
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010771151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical