Susan Kyle Radzilowski, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801019864 Issued in MI

Practice address

19641 Silver Spring St
Southfield, MI 48076-5060

Phone

(248) 943-2089

Fax

(248) 618-8072

NPI assigned

Nov 30, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Susan Fitzpatrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1023310828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19641 SILVER SPRING ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765060",
            "telephone_number": "248-943-2089",
            "fax_number": "248-618-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19641 SILVER SPRING ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765060",
            "telephone_number": "248-943-2089",
            "fax_number": "248-618-8072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095000",
            "country_code": "US",
            "telephone_number": "734-647-5299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADZILOWSKI",
        "first_name": "SUSAN",
        "middle_name": "KYLE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801019864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FITZPATRICK",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Anthony-Porto Radell-Reilly, LMSW
• Alessandra Rader
• Radiant Care LLC
• Zamzam Radiyah
• Radzilowski Counseling LLC
• Nicole Raeside
• Raf Care Services LCC
• Kimberly Ann Raffler, CRNA
• Ramin Rafie, MD
• Sholly Rahman

• Clinical Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.