Active NPI
Susan Anne Cadwell, MA LPC
- Case Manager/Care Coordinator
- Detroit, MI
National Provider Identifier
1174725931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 822378
- Practice address
- 5555 Conner St
Detroit, MI 48213-3448 - Phone
- (313) 921-8102
- Fax
- (313) 921-8148
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 822378 | MI | Primary |
Addresses
Primary practice location
5555 Conner St
Detroit, MI 48213-3448
Mailing address
5555 Conner St
Detroit, MI 48213-3448
Phone (313) 921-8102
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 822378 | MI | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174725931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 CONNER ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482133448",
"telephone_number": "313-921-8102",
"fax_number": "313-921-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 CONNER ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482133448",
"telephone_number": "313-921-8102",
"fax_number": "313-921-8148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADWELL",
"first_name": "SUSAN",
"middle_name": "ANNE",
"credential": "MA LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": "822378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.