Provider Demographics
NPI:1952790172
Name:HOMEWOOD, REBECCA KAR-YOUNG (LMSW, CAADC)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:KAR-YOUNG
Last Name:HOMEWOOD
Suffix:
Gender:F
Credentials:LMSW, CAADC
Other - Prefix:MISS
Other - First Name:REBECCA
Other - Middle Name:KAR-YOUNG
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, CAADC
Mailing Address - Street 1:1587 SCIO RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-8991
Mailing Address - Country:US
Mailing Address - Phone:734-730-3568
Mailing Address - Fax:
Practice Address - Street 1:2060 GRAND RIVER ANX
Practice Address - Street 2:SUITE 600
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-5312
Practice Address - Country:US
Practice Address - Phone:810-220-8192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC-01637101YA0400X
MI68010883921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)