Provider Demographics
NPI:1548400716
Name:JAMES H DEARLOVE DCSW, PC
Entity Type:Organization
Organization Name:JAMES H DEARLOVE DCSW, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:DEARLOVE
Authorized Official - Suffix:
Authorized Official - Credentials:DCSW
Authorized Official - Phone:810-732-8443
Mailing Address - Street 1:3456 PIERSON PLACE
Mailing Address - Street 2:SUITE G
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-2474
Mailing Address - Country:US
Mailing Address - Phone:810-732-8443
Mailing Address - Fax:
Practice Address - Street 1:3456 PIERSON PLACE
Practice Address - Street 2:SUITE G
Practice Address - City:FLUSHING
Practice Address - State:MI
Practice Address - Zip Code:48433-2474
Practice Address - Country:US
Practice Address - Phone:810-732-8443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010355911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty