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

Individual provider Social Worker · NPI 1396020483

Anna C. Licavoli, LLMSW is a Social Worker in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011
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Practice location Address checks out

24445 Northwestern Hwy Ste 200
Southfield, MI 48075-2437
Phone: (248) 850-1998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6851093398 (MI)

Record details

NPI number1396020483
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedOctober 20, 2011
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024

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