Susan Hyde Bakker, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089735 Issued in MI

Practice address

667 E Big Beaver Rd Ste 107
Troy, MI 48083-1430

Phone

(248) 250-6620

Fax

(248) 250-6629

NPI assigned

Feb 11, 2010

Last updated

Apr 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Yale University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joe Lilly LLCGroup PAC ID 2961742259, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Joe Lilly, LLC

  dba Lillybrook Counseling Services

  • Clinical Social Worker
  • Troy, MI
  • NPI 1053881177
  Medicare reassignment Care Compare group NPD
• Personal & Family Adjustment Center PC

  dba Elm Street Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Birmingham, MI
  • NPI 1669478921
  Medicare reassignment NPD
• New Center Community Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
  • NPI 1306864129
  NPD (past)
• New Center Community Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
  • NPI 1588672091
  NPD (past)

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1447582762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 E BIG BEAVER RD STE 107",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831430",
            "telephone_number": "248-250-6620",
            "fax_number": "248-250-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 E BIG BEAVER RD STE 107",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831430",
            "telephone_number": "248-250-6620",
            "fax_number": "248-250-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKKER",
        "first_name": "SUSAN",
        "middle_name": "HYDE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Baker, RD
• Melissa Baker, AGPCNP-BC
• Sophia Baker
• Ebraam Mounir Bakhiet, OD
• Anezi E Bakken, MD
• Vishal Bakshi
• Nicoleta Balan, PT
• Daniel G Balcueva, O.D.
• Diane Marie Bald, LMSW
• Monica Balicki, LLP

• Clinical Social Worker in Troy, MI
• Providers in Troy, 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 Apr 5, 2023; 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.