Provider Demographics
NPI:1578955670
Name:KIRSCH, PAULA (LMSW, LCSW, CST)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:
Last Name:KIRSCH
Suffix:
Gender:F
Credentials:LMSW, LCSW, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 E KIRBY ST STE 107B
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-4038
Mailing Address - Country:US
Mailing Address - Phone:248-767-8411
Mailing Address - Fax:
Practice Address - Street 1:15 E KIRBY ST STE 107B
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-4038
Practice Address - Country:US
Practice Address - Phone:248-767-8411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-26
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010968081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical