Individual provider Active NPI

Susan Kay Imhof, LMSW

  • Clinical Social Worker
  • Brighton, MI
National Provider Identifier
1609167162
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092072 Issued in MI
Practice address
8010 Grand River Rd Ste 300
Brighton, MI 48114-9303
Phone
(810) 772-4262
Fax
(810) 844-0260
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 6801092072 MI Primary

Addresses

Primary practice location

8010 Grand River Rd Ste 300
Brighton, MI 48114-9303

Mailing address

100 Orndorf Dr Unit 66
Brighton, MI 48116-7002
Phone (810) 623-7226

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
I20140408000571 MI Practitioner - Clinical Social Worker 2062644958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10524 Grand River Rd
Suite 107C
Brighton, MI 48116-9559
Phone (810) 772-4262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801092072MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TT Counseling Services LLC CurrentSince Nov 1, 2022 Accepting new patients
Susan Imhof LLC CurrentSince Sep 20, 2022 Accepting new patients

Locations

8010 Grand River Rd
Ste 300
Brighton, MI 48114
Phone (810) 772-4262

100 Orndorf Dr
Unit 66
Brighton, MI 48116

10524 Grand River Rd
Ste 107C
Brighton, MI 48116
Phone (248) 219-0937

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1609167162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ORNDORF DR UNIT 66",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481167002",
            "telephone_number": "810-623-7226",
            "fax_number": "810-844-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 GRAND RIVER RD STE 300",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149303",
            "telephone_number": "810-772-4262",
            "fax_number": "810-844-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMHOF",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.