Sue Pellerito LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUE PELLERITO LLC

Practice address

2311 Shelby Ave Ste 105a
Ann Arbor, MI 48103-3849

Phone

(734) 775-0662

Fax

(734) 726-5138

NPI assigned

Apr 22, 2020

Organization subpart

No

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

Authorized official

Name

Suzanne M Pellerito, LMSWNPI 1548431737

Title

Owner

Phone

(734) 775-0662

Specialties & licenses 1

Addresses

Other names 2

• Sue Pellerito LMSW, LLC Doing business as
• Suzanne M Pellerito Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Suzanne M Pellerito, MSW

  • Clinical Social Worker
  • Dexter, MI
  • NPI 1548431737
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1164042917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9915 HURON RIVER DR",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309466",
            "telephone_number": "734-775-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 SHELBY AVE STE 105A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033849",
            "telephone_number": "734-775-0662",
            "fax_number": "734-726-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE PELLERITO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "PELLERITO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-775-0662",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sue Pellerito LMSW, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suzanne M Pellerito",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ian Sucarski
• Bailey Sucha
• Paige Elizabeth Suchevits
• Ranjna Sud, DDS
• Jaclyn Nicole Suderman, LPC
• Stacie Sueda, DDS
• Alan Sugar, MD
• Jonathan A Sugar, M.D.
• Hunter Sugarbaker
• Theodore T Suh, MD

• 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 Apr 22, 2020; 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.