Provider Demographics
NPI:1801511092
Name:GEE, CAROLINE P (LMSW)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:P
Last Name:GEE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:P
Other - Last Name:MCMAHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4109 GREENWAY AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-2294
Mailing Address - Country:US
Mailing Address - Phone:248-635-0623
Mailing Address - Fax:
Practice Address - Street 1:1050 WILSHIRE DR STE 175
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-1590
Practice Address - Country:US
Practice Address - Phone:248-635-0623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801105030104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker