Provider Demographics
NPI:1356401947
Name:PEARLSTEIN, CHARLES LEWIS (LMSW ACSW)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:LEWIS
Last Name:PEARLSTEIN
Suffix:
Gender:F
Credentials:LMSW ACSW
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:29201 TELEGRAPH ROAD
Mailing Address - Street 2:SUITE #550
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034
Mailing Address - Country:US
Mailing Address - Phone:248-213-0501
Mailing Address - Fax:248-213-0521
Practice Address - Street 1:29201 TELEGRAPH ROAD
Practice Address - Street 2:SUITE #550
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034
Practice Address - Country:US
Practice Address - Phone:248-213-0501
Practice Address - Fax:248-213-0521
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MISW6801067536103T00000X, 104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical