Provider Demographics
NPI:1750408662
Name:RASHAD, MICHEL (LMSW, MSW)
Entity type:Individual
Prefix:
First Name:MICHEL
Middle Name:
Last Name:RASHAD
Suffix:
Gender:F
Credentials:LMSW, MSW
Other - Prefix:
Other - First Name:KAMILAH
Other - Middle Name:
Other - Last Name:RASHAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW, MSW
Mailing Address - Street 1:PO BOX 3342
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48203-0342
Mailing Address - Country:US
Mailing Address - Phone:313-421-1015
Mailing Address - Fax:
Practice Address - Street 1:6309 MACK AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48207-2302
Practice Address - Country:US
Practice Address - Phone:313-421-1015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010943611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical