Provider Demographics
NPI:1902285125
Name:STOKES, ANN CAMILLE (LMSW CAADC)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:CAMILLE
Last Name:STOKES
Suffix:
Gender:F
Credentials:LMSW CAADC
Other - Prefix:MISS
Other - First Name:ANN
Other - Middle Name:CAMILLE
Other - Last Name:BALDONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLMSW CAADC
Mailing Address - Street 1:418 W KALAMAZOO AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-3334
Mailing Address - Country:US
Mailing Address - Phone:269-553-7120
Mailing Address - Fax:269-553-7129
Practice Address - Street 1:418 W KALAMAZOO AVE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-3334
Practice Address - Country:US
Practice Address - Phone:269-553-7120
Practice Address - Fax:269-553-7129
Is Sole Proprietor?:No
Enumeration Date:2015-05-20
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011092891041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker