Individual provider · NPI-1

Katherine Baetz, LMSW-C, CAADC, ADS

Social Worker, Clinical · Saint Clair Shores, MI

NPI number1871014332
StatusActive
Last updated in NPPESAug 30, 2023

Details

NPI
1871014332
Entity type
Individual (NPI-1)
Name
Ms. Katherine Baetz
Credential
LMSW-C, CAADC, ADS
Sex
Female
Sole proprietor
No
Enumeration date
Jul 5, 2017
Certification date
Aug 30, 2023
Last updated
Aug 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical6801106055MIYes
101Y00000X Counselor6801100920MI

Practice location

23100 Jefferson Ave
Saint Clair Shores, MI 48080-2756

Phone 586-335-2006

Mailing address

1504 Aline Dr
Grosse Pointe Woods, MI 48236-1002

Phone 313-530-7414

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