Provider Demographics
NPI:1942288485
Name:FICK, STEVEN (LMSW,ACSW,CAC-I)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:FICK
Suffix:
Gender:M
Credentials:LMSW,ACSW,CAC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1897 S PATTERSON RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-8589
Mailing Address - Country:US
Mailing Address - Phone:989-631-2252
Mailing Address - Fax:989-631-2252
Practice Address - Street 1:1897 S PATTERSON RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-8589
Practice Address - Country:US
Practice Address - Phone:989-631-2252
Practice Address - Fax:989-631-2252
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1-00732101YA0400X
MI68010652331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N96140Medicare PIN
MIG96288058Medicare PIN