Provider Demographics
NPI:1891045845
Name:STRATAGEMS CONSULTING GROUP INC.
Entity Type:Organization
Organization Name:STRATAGEMS CONSULTING GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASTER SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:BARNWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-788-3033
Mailing Address - Street 1:816 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-1100
Mailing Address - Country:US
Mailing Address - Phone:734-788-3033
Mailing Address - Fax:734-996-8149
Practice Address - Street 1:340 N MAIN ST
Practice Address - Street 2:STE 315
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1249
Practice Address - Country:US
Practice Address - Phone:734-788-3033
Practice Address - Fax:734-996-8149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010603801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI2440Medicare PIN