Active NPI
Darrah Susan-Gae Dorman, LLMSW
- Clinical Social Worker
- Portage, MI
National Provider Identifier
1730993031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851116196
- Practice address
- 6100 Newport Rd Ste 222
Portage, MI 49002-9235 - Phone
- (269) 488-5929
- NPI assigned
- Feb 5, 2025
- Last updated
- Feb 5, 2025
- 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 | 6851116196 | MI | Primary |
Addresses
Primary practice location
6100 Newport Rd Ste 222
Portage, MI 49002-9235
Mailing address
11632 S Shaver Rd
Schoolcraft, MI 49087-9409
Phone (616) 262-3756
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851116196 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy Unlimited Counseling Center, PLC | Clinical | Current | Accepting new patients |
Locations
6100 Newport Rd
Ste 222
Portage, MI 49002
Phone (269) 324-1248
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Portage, MI
- NPI 1164925269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1730993031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11632 S SHAVER RD",
"city": "SCHOOLCRAFT",
"state": "MI",
"postal_code": "490879409",
"telephone_number": "616-262-3756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 NEWPORT RD STE 222",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490029235",
"telephone_number": "269-488-5929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORMAN",
"first_name": "DARRAH",
"middle_name": "SUSAN-GAE",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-05",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851116196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.