Provider Demographics
NPI:1497088652
Name:OSWALD, LOUIS C (MA LMSW)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:C
Last Name:OSWALD
Suffix:
Gender:M
Credentials:MA LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 N ASHLEY ST
Mailing Address - Street 2:APT.2
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3397
Mailing Address - Country:US
Mailing Address - Phone:734-276-5302
Mailing Address - Fax:
Practice Address - Street 1:8623 N. WAYNE RD.
Practice Address - Street 2:310
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185
Practice Address - Country:US
Practice Address - Phone:734-425-0636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801061754101Y00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor