Provider Demographics
NPI:1639276330
Name:SCHECK, DEBRA ANN (LCSW, ACSW)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:SCHECK
Suffix:
Gender:F
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3791 KLAIS DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-2359
Mailing Address - Country:US
Mailing Address - Phone:248-693-8880
Mailing Address - Fax:248-391-7478
Practice Address - Street 1:3694 CLARKSTON RD
Practice Address - Street 2:SUITE D
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-5213
Practice Address - Country:US
Practice Address - Phone:248-693-8880
Practice Address - Fax:248-391-7478
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010216511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI8008907620OtherSTATE OF MICHIGAN BCBSM
CA251193OtherMENTAL HEALTH NETWORK
MI80020865OtherVALUE OPTIONS
MI80020865OtherVALUE OPTIONS