Susan Pesha, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801060540 Issued in MI

Practice address

103 E Liberty St Ste 209
Ann Arbor, MI 48104-2136

Phone

(810) 201-4746

Fax

(248) 301-1076

NPI assigned

Apr 7, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Living Fully Mental Health PLCGroup PAC ID 1456714575, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Living Fully Mental Health PLC

  • Clinical Social Worker
  • Grand Blanc, MI
  • NPI 1881379584
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1376786293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 S SAGINAW ST STE 6",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391894",
            "telephone_number": "810-201-4789",
            "fax_number": "248-301-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E LIBERTY ST STE 209",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042136",
            "telephone_number": "810-201-4746",
            "fax_number": "248-301-1076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8305 S Saginaw St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484391894",
            "country_code": "US",
            "telephone_number": "810-201-4789",
            "fax_number": "248-301-1076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PESHA",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801060540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ponni V Perumalswami, M.D.
• Juliette Marie Perzhinsky, MD
• Michaela Pesce
• Caroline Peschansky, MD
• Ora Hirsch Pescovitz, MD
• Peter Scuccimarri, MD, Faafp, PC
• Peter Vanbeck DDS PLLC
• Anna Katharina Peter, M.D
• Marc L Peters-Golden, MD
• Sally Jean Peters-Sines, RN

• 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 Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.