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

Individual provider Clinical Social Worker · NPI 1740895341

Katelyn Marie Yaczik is a Clinical Social Worker in Southgate, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
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Practice location Address checks out

13101 Allen Rd
Southgate, MI 48195-2216
Phone: (313) 808-0384
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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 · Licence 6801103015 (MI)

Record details

NPI number1740895341
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 10, 2020
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020

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