Waldorf, Caitlin
Waldorf, Caitlin is an individual health care provider with primary practice located at 12200 E 13 Mile Rd Ste 200 , Warren MI 48093-3093. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Waldorf, Caitlin can be contacted via phone (586) 573-1810.Contact Information
Primary practice address
12200 E 13 Mile Rd Ste 200
Warren MI 48093-3093
Phone: (586) 573-1810
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801108501 | Michigan |
Profile Details
NPI number | 1245789445 |
---|---|
LBN Legal business name | Waldorf, Caitlin |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 28th, 2016 |
Last updated | Nov 23rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245789445 | NPPES |
Michigan | Other | 6801108501 | MSW LICENSE |
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