Individual
MRS. KATHLEEN ANN TITHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW, CTRS, CBIS
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801086333
MI
1041C0700X
Clinical Social Worker
Primary
7953
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38418
CERTIFIED THERAPEUTIC RECREATION SPECIALIST
MI
01
—
6801086333
BOARD OF SOCIAL WORK LIMITED LICENSE
MI
Enumeration date
02/11/2009
Last updated
03/10/2026
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