Active NPI
Susan Truckly
- Clinical Social Worker
- Farmington Hills, MI
National Provider Identifier
1538540653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801033369
- Practice address
- 37899 W 12 Mile Rd
Suite 130
Farmington Hills, MI 48331-3048 - Phone
- (248) 476-2229
- NPI assigned
- Jun 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801033369 | MI | Primary |
Addresses
Primary practice location
37899 W 12 Mile Rd
Suite 130
Farmington Hills, MI 48331-3048
Mailing address
37899 W 12 Mile Rd
Suite 130
Farmington Hills, MI 48331-3048
Other names 1
- Susan Hamel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Therapy Services, PLLC | Past | Accepting new patients | |
| Senior Counseling Services LLC | Clinical | Past | Accepting new patients |
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.
-
- Psychologist
- Farmington Hills, MI
- NPI 1093190100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434326400000",
"number": "1538540653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37899 W 12 MILE RD",
"address_2": "SUITE 130",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483313048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37899 W 12 MILE RD",
"address_2": "SUITE 130",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483313048",
"telephone_number": "248-476-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUCKLY",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-15",
"last_updated": "2015-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801033369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "HAMEL",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.