Provider Demographics
NPI:1730178534
Name:CAIN-TORREZ, KATHRYN A (LMSW ACSW)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:A
Last Name:CAIN-TORREZ
Suffix:
Gender:F
Credentials:LMSW ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5705 W JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:LUDINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:49431-1516
Mailing Address - Country:US
Mailing Address - Phone:231-425-4414
Mailing Address - Fax:231-425-4434
Practice Address - Street 1:5705 W JOHNSON RD
Practice Address - Street 2:
Practice Address - City:LUDINGTON
Practice Address - State:MI
Practice Address - Zip Code:49431-1516
Practice Address - Country:US
Practice Address - Phone:231-425-4414
Practice Address - Fax:312-425-4434
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIKC0570181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N98050Medicare UPIN