Provider Demographics
NPI:1710263587
Name:KARWOWSKI, BRAD DONALD (LMSW)
Entity Type:Individual
Prefix:
First Name:BRAD
Middle Name:DONALD
Last Name:KARWOWSKI
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26184 OUTER DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48146-2084
Mailing Address - Country:US
Mailing Address - Phone:313-389-7556
Mailing Address - Fax:313-389-7510
Practice Address - Street 1:1 HERITAGE DR STE 261
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-2574
Practice Address - Country:US
Practice Address - Phone:734-778-0663
Practice Address - Fax:734-785-8328
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010927061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical