Provider Demographics
NPI:1295836823
Name:DEBRA SCHECK, MSW, CSW
Entity Type:Organization
Organization Name:DEBRA SCHECK, MSW, CSW
Other - Org Name:CRYSTAL CREEK COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCHECK
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, ACSW
Authorized Official - Phone:248-693-8880
Mailing Address - Street 1:3791 KLAIS DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-2359
Mailing Address - Country:US
Mailing Address - Phone:248-693-8880
Mailing Address - Fax:248-391-7478
Practice Address - Street 1:3694 CLARKSTON RD
Practice Address - Street 2:SUITE D
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-5213
Practice Address - Country:US
Practice Address - Phone:248-693-8880
Practice Address - Fax:248-391-7478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010216511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty