IndividualActive
Ingrid Zomboreanu Boettcher, MSW, LMSW
NPI 1205975877 · Clinical Social Worker · Clinton Twp., MI
Provider details
- NPI number
- 1205975877
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LMSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6801080115 (MI)
Practice location
21885 Dunham Rd.
Mccmh - Srs Ste 5
Clinton Twp., MI 48036
Phone: (586) 469-6606
Fax: (586) 469-6364
Mailing address
35742 Union Lake Rd
Harrison Twp, MI 48045-3178
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.