Provider Demographics
NPI:1346452810
Name:YAKER, MARJORIE (LMSW)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:
Last Name:YAKER
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 1:26401 HUNTINGTON RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070-1263
Mailing Address - Country:US
Mailing Address - Phone:248-981-4258
Mailing Address - Fax:
Practice Address - Street 1:333 W 7TH ST
Practice Address - Street 2:SUITE 170
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-2513
Practice Address - Country:US
Practice Address - Phone:248-981-4258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0723321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical