Individual provider Active NPI

Susan M. Thompson-Doering, MSW, LMSW

  • Clinical Social Worker
  • Canton, MI
National Provider Identifier
1457796450
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MI6801095253 Issued in MI
Practice address
46240 Spinning Wheel Drive
Canton, MI 48187
Phone
(734) 412-6143
Fax
(734) 210-1157
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MI6801095253 MI Primary
Clinical Social Worker 1041C0700X L2461283 MI

Addresses

Primary practice location

46240 Spinning Wheel Drive
Canton, MI 48187

Mailing address

P.O. Box 3049
Ann Arbor, MI 48106-3049
Phone (734) 412-6143

Other names 1

  • Susie Thompson-Doering Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L2461283MIMDClinical Social Worker
MI6801095253MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arborheart Counseling, LLC Clinical CurrentSince Dec 3, 2023 Accepting new patients
Primacare LLC PastSince Jul 5, 2016 Accepting new patients

Locations

2350 Washtenaw Ave
Ste 7C
Ann Arbor, MI 48104
Phone (734) 234-6931

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1457796450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3049",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481063049",
            "telephone_number": "734-412-6143",
            "fax_number": "734-210-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46240 SPINNING WHEEL DRIVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48187",
            "telephone_number": "734-412-6143",
            "fax_number": "734-210-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-DOERING",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "credential": "MSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "MI6801095253",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "L2461283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSIE",
            "last_name": "THOMPSON-DOERING",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.