Individual provider Active NPI

Susan Marie Spolsky, LMSW, ACSW, CCM

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1104360106
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801057892 Issued in MI
Practice address
696 N Mill St Ste 112
Plymouth, MI 48170-1281
Phone
(313) 701-0451
NPI assigned
Dec 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801057892 MI Primary

Addresses

Primary practice location

696 N Mill St Ste 112
Plymouth, MI 48170-1281

Mailing address

PO Box 51863
Livonia, MI 48151-5863
Phone (313) 418-1326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170214000262 MI Practitioner - Clinical Social Worker 4385927557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

696 N Mill St
Suite 112
Plymouth, MI 48170-1281
Phone (313) 701-0415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801057892MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karalee Associates PC CurrentSince Jan 12, 2017 Accepting new patients
SM Piro-Spolsky PLLC Clinical CurrentSince May 1, 2019 Accepting new patients

Locations

696 N Mill St
Ste 112
Plymouth, MI 48170
Phone (313) 701-0415

1308 S Main St
Plymouth, MI 48170
Phone (734) 451-3440

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1104360106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51863",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481515863",
            "telephone_number": "313-418-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 N MILL ST STE 112",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701281",
            "telephone_number": "313-701-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOLSKY",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "LMSW, ACSW, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801057892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.