Provider Demographics
NPI:1114056918
Name:WARSH, DEBORAH URBACH (LMSW, LMFT, ACSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:URBACH
Last Name:WARSH
Suffix:
Gender:F
Credentials:LMSW, LMFT, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5682 RAVEN RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-1048
Mailing Address - Country:US
Mailing Address - Phone:248-626-2727
Mailing Address - Fax:248-626-2728
Practice Address - Street 1:7457 FRANKLIN RD
Practice Address - Street 2:SUITE 303
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-3611
Practice Address - Country:US
Practice Address - Phone:248-626-0636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010187461041C0700X
MI4101005306106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1883825Medicaid