Provider Demographics
NPI:1639192628
Name:CESAIRE, SABRINA (LMSW)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:CESAIRE
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 1:9336 FELCH ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48213-3178
Mailing Address - Country:US
Mailing Address - Phone:313-283-2154
Mailing Address - Fax:743-728-4278
Practice Address - Street 1:25820 SOUTHFIELD RD
Practice Address - Street 2:STE. 111
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-1826
Practice Address - Country:US
Practice Address - Phone:248-559-1763
Practice Address - Fax:248-559-1764
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010786701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI$$$$$$$$$OtherTAX ID
MI$$$$$$$$$OtherTAX ID