Anusha Chudhry, LLMSW

Individual provider Active NPI Clinical Social Worker · Davison, MI

NPI 1104694322 · NPPES record last updated Dec 18, 2023

Key facts

NPI
1104694322
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6851115967 (MI)
Practice address
9171 Lapeer Rd
Davison, MI 48423-3617
Phone
(810) 214-1750
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6851115967MIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851115967 MI Yes

Addresses

Primary practice location

9171 Lapeer Rd
Davison, MI 48423-3617

Mailing address

9171 Lapeer Rd
Davison, MI 48423-3617

Other providers in Davison, MI

All providers in Davison, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.