Provider Demographics
NPI:1023164308
Name:SCHOFIELD, KATHIE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:KATHIE
Middle Name:
Last Name:SCHOFIELD
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 1:1702 CARDINAL RDG
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-3423
Mailing Address - Country:US
Mailing Address - Phone:313-658-7225
Mailing Address - Fax:
Practice Address - Street 1:2265 LIVERNOIS RD
Practice Address - Street 2:SUITE 260
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1633
Practice Address - Country:US
Practice Address - Phone:313-658-7225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010847421041C0700X
MI4704241766163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No163W00000XNursing Service ProvidersRegistered Nurse