Provider Demographics
NPI:1881996932
Name:CASE, KATHARINE PARKER (LMSW)
Entity type:Individual
Prefix:MRS
First Name:KATHARINE
Middle Name:PARKER
Last Name:CASE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:496 W ANN ARBOR TRL
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-6262
Mailing Address - Country:US
Mailing Address - Phone:734-716-1838
Mailing Address - Fax:734-414-1374
Practice Address - Street 1:496 W ANN ARBOR TRL
Practice Address - Street 2:SUITE 202
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-6262
Practice Address - Country:US
Practice Address - Phone:734-716-1838
Practice Address - Fax:734-414-1374
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-23
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010710531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical