Provider Demographics
NPI:1629888037
Name:LEHRKE, NOELLE KIMBERLY-NICOLE (MSW)
Entity type:Individual
Prefix:
First Name:NOELLE
Middle Name:KIMBERLY-NICOLE
Last Name:LEHRKE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21880 MANOR CT APT 1016
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-4454
Mailing Address - Country:US
Mailing Address - Phone:734-309-3104
Mailing Address - Fax:
Practice Address - Street 1:19275 NORTHLINE RD BLDG 7
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-2220
Practice Address - Country:US
Practice Address - Phone:734-785-7716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical