Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Landmark Therapy PLLC

Organization Clinical Social Worker · NPI 1629836606

Landmark Therapy PLLC is a Clinical Social Worker in Southfield, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

26677 W 12 Mile Rd
Southfield, MI 48034-1514
Phone: (248) 581-0598
Fax: (248) 588-3211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1629836606
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Wickersham — Owner · (248) 581-0598
NPI enumeratedMarch 13, 2024
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024
Mailing address26677 W 12 Mile Rd, Southfield, MI 48034-1514

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