Provider Demographics
NPI:1770381816
Name:MARKIEWICZ, SARAH (LMSW-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MARKIEWICZ
Suffix:
Gender:
Credentials:LMSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26606 DELTON ST
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3633
Mailing Address - Country:US
Mailing Address - Phone:586-808-1554
Mailing Address - Fax:
Practice Address - Street 1:21195 GILL RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48335-5027
Practice Address - Country:US
Practice Address - Phone:248-489-3690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011159471041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool