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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MARY DECAROLIS, LMSW, ACSW
22101 MOROSS RD
DETROIT, MI48236-2148
 Phone: 313-417-2769
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARY DECAROLIS · (Female)

NPI # 1003026089
Status Active
Credentials LMSW, ACSW
Entity Individual
Enumeration date 05/22/2007
Last updated 06/30/2016 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6801077436
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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