Susan Margaret Elizabeth Shadley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

390200000X. Issued in NU

Practice address

500 E Washington St Ste 100
Ann Arbor, MI 48104-2057

Phone

(734) 763-3471

NPI assigned

Jul 30, 2013

Last updated

Jul 30, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1063844298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5326 WHIPTAIL ST APT A",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923102244",
            "telephone_number": "760-979-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WASHINGTON ST STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042057",
            "telephone_number": "734-763-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADLEY",
        "first_name": "SUSAN",
        "middle_name": "MARGARET ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "390200000X.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wael Mansour Shabana, MD
• Christina Lynn Shabet, MD
• Kendra Patricia Shackelton, LMSW
• Grace Helen Shadid, MD
• Elizabeth Mary Shadigian, M.D.
• Johnita Denise Shaffer, BS
• Robert Woodworth Shaffer, MD
• Mayra Alejandra Shafique, MD
• Joshua Shafquat
• Lisa Margaret Shaft

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, 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 Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.