Active NPI
Ethel M Suttice, LMSW ACSW
- School Social Worker
- Southfield, MI
National Provider Identifier
1053466987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 6801009499
- Practice address
- 15565 Northland Drive
Suite 505W
Southfield, MI 48075 - Phone
- (248) 483-3100
- Fax
- (248) 483-3104
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801009499 | MI | |
| School Social Worker | 1041S0200X | 6801009499 | MI | Primary |
Addresses
Primary practice location
15565 Northland Drive
Suite 505W
Southfield, MI 48075
Mailing address
18688 West Thirteen Mile Rd #6
Beverly Hills, MI 48025
Phone (248) 258-9587
Other names 1
- Ms. Ethel M Green
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801009499 | MI | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1053466987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18688 WEST THIRTEEN MILE RD #6",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "48025",
"telephone_number": "248-258-9587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15565 NORTHLAND DRIVE",
"address_2": "SUITE 505W",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48075",
"telephone_number": "248-483-3100",
"fax_number": "248-483-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTICE",
"first_name": "ETHEL",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LMSW ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801009499",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MI",
"license": "6801009499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ETHEL",
"last_name": "GREEN",
"middle_name": "M",
"prefix": "MS.",
"credential": "BA CSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.