Organization Active NPI

Susan N Evans, LMSW, PLLC

  • Social Worker
  • Brighton, MI
National Provider Identifier
1023673373
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SUSAN N EVANS, LMSW, PLLC
Practice address
792 W Grand River Ave
Brighton, MI 48116-2392
Phone
(810) 333-2588
NPI assigned
May 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Mrs. Susan Niffin Evans, LMSWNPI 1841341088
Title
President
Phone
(810) 333-2588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

792 W Grand River Ave
Brighton, MI 48116-2392

Mailing address

792 W Grand River Ave
Brighton, MI 48116-2392
Phone (810) 333-2588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200325000079 MI Part B Supplier - Clinic/Group Practice 1658709662 Receives reassigned benefits from 1 practitioner
Practice locations: Brighton, MI

National Provider Directory

National Provider Directory

Locations

792 W Grand River Ave
Brighton, MI 48116
Phone (810) 333-2588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1023673373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 W GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162392",
            "telephone_number": "810-333-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 W GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162392",
            "telephone_number": "810-333-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN N EVANS, LMSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "NIFFIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-333-2588",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.