Provider Demographics
NPI:1780859769
Name:CAHILL, DOREEN ELIZABETH (LMSW, CAADC)
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:ELIZABETH
Last Name:CAHILL
Suffix:
Gender:F
Credentials:LMSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11630 HIAWATHA DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-1237
Mailing Address - Country:US
Mailing Address - Phone:586-659-9540
Mailing Address - Fax:
Practice Address - Street 1:12955 23 MILE RD
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48315-2707
Practice Address - Country:US
Practice Address - Phone:586-659-9540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801091513101YM0800X, 104100000X
FLSW11519101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health