Susan M Hoffman LMSW LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUSAN M HOFFMAN LMSW LLC

Practice address

231 State St Ste 5
Petoskey, MI 49770-2785

Phone

(231) 881-3970

Fax

(231) 753-2387

NPI assigned

Mar 17, 2020

Organization subpart

No

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

Authorized official

Name

Susan Mary HoffmanNPI 1538475108

Title

Owner/Clinical Social Worker

Phone

(231) 881-3970

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Susan Mary Hoffman, LMSW CAAC

  • Clinical Social Worker
  • Petoskey, MI
  • NPI 1538475108
  NPD Authorized official

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1225664790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 STATE ST STE 5",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702785",
            "telephone_number": "231-881-3970",
            "fax_number": "231-753-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 STATE ST STE 5",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702785",
            "telephone_number": "231-881-3970",
            "fax_number": "231-753-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M HOFFMAN LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "231-881-3970"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538475108",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychselect.com/cgi-bin/therapyappointment/login.cfm?practitioner=8350",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "231 State St Ste 5",
            "city": "Petoskey",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497702785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michele Sturt, CFNP
• Drew E Styma, ATC
• Joseph P Sullivan, M.D., PH.D.
• Paul Michael Sullivan, LPC
• Susan JS Malone, DDS, PC
• Susan M. Hoffman
• Marissa Sweeney, LPC
• Ayriss Ann Swenor, DC
• Joseph Patrick Sypniewski, D.O.
• Dean Erick Tahtinen, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.