Waldorf, Caitlin

Waldorf, Caitlin is an individual health care provider with primary practice located at 12200 E 13 Mile Rd Ste 200 , Warren MI 48093-3093. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Waldorf, Caitlin can be contacted via phone (586) 573-1810.

Contact Information

Primary practice address
12200 E 13 Mile Rd Ste 200 Warren MI 48093-3093
Phone: (586) 573-1810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801108501 Michigan

Profile Details

NPI number 1245789445
LBN Legal business name Waldorf, Caitlin
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2016
Last updated Nov 23rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245789445 NPPES
Michigan Other 6801108501 MSW LICENSE

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