Provider Demographics
NPI:1689721912
Name:STEIN, JOAN E (MSW, ACSW, BCD)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:E
Last Name:STEIN
Suffix:
Gender:F
Credentials:MSW, ACSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6831 W RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-8866
Mailing Address - Country:US
Mailing Address - Phone:810-220-2385
Mailing Address - Fax:810-494-9493
Practice Address - Street 1:6831 W RIDGE DR
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-8866
Practice Address - Country:US
Practice Address - Phone:810-220-2385
Practice Address - Fax:810-494-9493
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010719111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical