Shirley Bouza, LMSW
Individual provider Active NPI Clinical Social Worker · Caro, MI
NPI 1285745828 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1285745828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801086600 (MI)
- Practice address
- 1332 Prospect Ave
Caro, MI 48723-9288 - Phone
- (989) 673-6191
- Fax
- (989) 672-3443
- NPI assigned
- Aug 31, 2006
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801086600 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801086600 | MI | Yes |
Addresses
Primary practice location
1332 Prospect Ave
Caro, MI 48723-9288
Mailing address
323 N State St
PO Box 239
Caro, MI 48723-1537
Phone (989) 673-6191
Other providers in Caro, MI
- Stacey Marie Bliss
- Lida Rosanne Blue
- Brandy Lee Bly
- Kyle Bonesteel
- Rocco J Borg
- Ronald Ricardo Bowden
- Ronda K Bower
- Pamela Jean Boydston
- Deborah Brady
- Manoj Jaydevbhai Brahmbhatt
All providers in Caro, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.