Provider Demographics
NPI:1861743312
Name:SEWICK, CATHERINE (LLMSW)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:SEWICK
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50641 DRAKES BAY DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-2548
Mailing Address - Country:US
Mailing Address - Phone:248-361-0708
Mailing Address - Fax:
Practice Address - Street 1:17100 W 12 MILE RD STE 1
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2115
Practice Address - Country:US
Practice Address - Phone:248-443-1995
Practice Address - Fax:248-443-5573
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010938691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical