Carolee Ann Joachim-Sam, LMSW

Individual provider Active NPI Social Worker · Clinton Township, MI

NPI 1629136262 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1629136262
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
6801020678 (MI)
Practice address
44720 Hayes Rd
Suite 100
Clinton Township, MI 48038-1087
Phone
(586) 226-2922
Fax
(586) 228-1976
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
6801020678MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Michigan, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801020678 MI Yes

Addresses

Primary practice location

44720 Hayes Rd
Suite 100
Clinton Township, MI 48038-1087

Mailing address

9607 River Rd
Clay, MI 48001-4016
Phone (810) 794-7574

Other names

  • Ms. Carolee Ann Joachim-Sam Professional name

Other providers in Clinton Township, MI

All providers in Clinton Township, MI · Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.