Mary Decarolis
Clinical Social Worker
22101 Moross Rd
Detroit
, Michigan 48236-2148
Mary Decarolis
Clinical Social Worker
22101 Moross Rd
Detroit
, Michigan 48236-2148
(313) 417-2769
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mary Decarolis
- 22101 Moross Rd
- Detroit, MI
- Zip : 48236-2148
- Phone : (313) 417-2769
Second Address
- Mary Decarolis
- 22101 Moross Rd
- Detroit, MI
- Zip : 48236-2148
- Phone : (313) 417-2769
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 6801077436 | MI |
National Provider Identifier
| NPI | 1003026089 |
|---|---|
| Provider Name | Mary Decarolis |
| First Address | Detroit, MI 48236-2148 |
| Second Address | Detroit, MI 48236-2148 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 30/06/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.