Provider Demographics
NPI:1801431887
Name:CLARKE, CATE SAWYER (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CATE
Middle Name:SAWYER
Last Name:CLARKE
Suffix:
Gender:
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:CATLIN
Other - Middle Name:SAWYER
Other - Last Name:BRAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:3150 PACKARD RD STE 6
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1994
Mailing Address - Country:US
Mailing Address - Phone:248-581-8777
Mailing Address - Fax:888-975-9374
Practice Address - Street 1:3150 PACKARD RD STE 6
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1994
Practice Address - Country:US
Practice Address - Phone:734-787-6943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-13
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0255671041C0700X
MI68011142621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1801431887Medicaid