Susan Couch Polakowski

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6802065646 Issued in MI

Practice address

21885 Dunham Rd
Suite 1
Clinton Township, MI 48036-1030

Phone

(586) 469-6496

NPI assigned

Feb 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Susan Couch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1124325568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 COUNTRY SQUIRE RD",
            "city": "DRYDEN",
            "state": "MI",
            "postal_code": "484289216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21885 DUNHAM RD",
            "address_2": "SUITE 1",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361030",
            "telephone_number": "586-469-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH POLAKOWSKI",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802065646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "COUCH",
            "prefix": "MISS",
            "credential": "LBSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cosmetic & Plastic Surgery Clinic, P.C.
• Cheryl Costeiu, OTR
• Mary Angela Costello, B.S, S.W.
• Sherry Lynn Costonde, COTA
• Lamia Monay Cotton, LLMSW
• Jessica R Couch, MA, LPC, NCC
• Karen Ann Coulier, R.N.
• Lynda Cox, PSYD, LLP
• Stephanie Marie Cox
• Samantha Christine Coyne, LLMSW

• Clinical Social Worker in Clinton Township, MI
• Providers in Clinton Township, 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 Feb 22, 2011; 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.