Provider Demographics
NPI:1770101453
Name:CZARNIK, EKATERINA PAULETTE (LLMSW)
Entity type:Individual
Prefix:
First Name:EKATERINA
Middle Name:PAULETTE
Last Name:CZARNIK
Suffix:
Gender:
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 N MILL ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-1422
Mailing Address - Country:US
Mailing Address - Phone:248-206-0486
Mailing Address - Fax:
Practice Address - Street 1:632 N MILL ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1422
Practice Address - Country:US
Practice Address - Phone:248-206-0486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-09
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011199211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical