Provider Demographics
NPI:1952623548
Name:POLICH, CELIA M (LMSW)
Entity type:Individual
Prefix:MRS
First Name:CELIA
Middle Name:M
Last Name:POLICH
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 1:123 E MICHIGAN AVE # 143
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MI
Mailing Address - Zip Code:49236-9998
Mailing Address - Country:US
Mailing Address - Phone:734-812-9057
Mailing Address - Fax:
Practice Address - Street 1:123 E MICHIGAN AVE # 143
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MI
Practice Address - Zip Code:49236-9998
Practice Address - Country:US
Practice Address - Phone:734-812-9057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical