Provider Demographics
NPI:1124175401
Name:JOAN E. STEIN, MSW, ACSW, BCD, P.C.
Entity type:Organization
Organization Name:JOAN E. STEIN, MSW, ACSW, BCD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, ACSW, BCD
Authorized Official - Phone:810-220-2385
Mailing Address - Street 1:6831 W RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-8866
Mailing Address - Country:US
Mailing Address - Phone:810-220-2385
Mailing Address - Fax:
Practice Address - Street 1:6831 W RIDGE DR
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-8866
Practice Address - Country:US
Practice Address - Phone:810-220-2385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010719111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty