Individual provider Active NPI

Susan Tobin, MSW, LMSW

  • Clinical Social Worker
  • Bloomfield Hills, MI
National Provider Identifier
1265621858
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090375 Issued in MI
Practice address
2550 S Telegraph Rd
Suite 250
Bloomfield Hills, MI 48302-0950
Phone
(248) 762-1247
NPI assigned
Oct 18, 2007
Last updated
Aug 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801090375 MI Primary

Addresses

Primary practice location

2550 S Telegraph Rd
Suite 250
Bloomfield Hills, MI 48302-0950

Mailing address

2550 S Telegraph Rd
Suite 250
Bloomfield Hills, MI 48302-0950
Phone (248) 762-1247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121001000090 MI Practitioner - Clinical Social Worker 8820247273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Viewpoint Psychology and Wellness LLCGroup PAC ID 0749561736, 10 clinicians

Practice addresses (Care Compare)

2045 E W Maple
Suite D405
Commerce Township, MI 48390-3801

2045 E W Maple Rd
Suite D405
Commerce Township, MI 48390-3801
Phone (248) 669-9500

2075 E W Maple Rd
Suite D405
Commerce Township, MI 48390-3801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1265621858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD",
            "address_2": "SUITE 250",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020950",
            "telephone_number": "248-762-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD",
            "address_2": "SUITE 250",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020950",
            "telephone_number": "248-762-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "SUSAN",
        "credential": "MSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.