Provider Demographics
NPI:1649361494
Name:SENKOWSKI, KARL LAWRENCE (LMSW)
Entity type:Individual
Prefix:MR
First Name:KARL
Middle Name:LAWRENCE
Last Name:SENKOWSKI
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:42189 ANN ARBOR RD E
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-4370
Mailing Address - Country:US
Mailing Address - Phone:248-217-6553
Mailing Address - Fax:734-453-5619
Practice Address - Street 1:42189 ANN ARBOR RD E
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-4370
Practice Address - Country:US
Practice Address - Phone:248-217-6553
Practice Address - Fax:734-453-5619
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801062048104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker