Active NPI
Susan L. Tobin, LLC
- Clinical Social Worker
- West Bloomfield, MI
National Provider Identifier
1215283601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801090375
- Legal business name
- SUSAN L. TOBIN, LLC
- Practice address
- 5745 W Maple Rd
Suite 213
West Bloomfield, MI 48322-4468 - Phone
- (248) 932-4325
- NPI assigned
- Aug 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan L Tobin, MSW, LMSW
- Title
- Owner, Clinical Social Worker
- Phone
- (248) 762-1247
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801090375 | MI | Primary |
Addresses
Primary practice location
5745 W Maple Rd
Suite 213
West Bloomfield, MI 48322-4468
Mailing address
5447 Pond Bluff CT
West Bloomfield, MI 48323-2441
Phone (248) 762-1247
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343952000000",
"number": "1215283601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5447 POND BLUFF CT",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232441",
"telephone_number": "248-762-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5745 W MAPLE RD",
"address_2": "SUITE 213",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224468",
"telephone_number": "248-932-4325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN L. TOBIN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-03",
"last_updated": "2012-08-03",
"status": "A",
"authorized_official_last_name": "TOBIN",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER, CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "248-762-1247",
"authorized_official_credential": "MSW, LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801090375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.