Provider Demographics
NPI:1710003207
Name:SCHIFF, BRENDA K (LMSW)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:K
Last Name:SCHIFF
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 1:5090 COLD SPRING LANE
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322
Mailing Address - Country:US
Mailing Address - Phone:248-626-3476
Mailing Address - Fax:248-626-3476
Practice Address - Street 1:401 S OLD WOODWARD AVE
Practice Address - Street 2:SUITE 435
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009
Practice Address - Country:US
Practice Address - Phone:248-245-2095
Practice Address - Fax:248-647-9142
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801062715104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
138681OtherBLUE CARE NETWORK