Individual provider Active NPI

Suanne Zager, LMSW

  • Clinical Social Worker
  • Berkley, MI
National Provider Identifier
1871659920
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801046776 Issued in MI
Practice address
2463 Ellwood Ave
Berkley, MI 48072-3209
Phone
(248) 835-5381
NPI assigned
Dec 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 6801046776 MI Primary

Addresses

Primary practice location

2463 Ellwood Ave
Berkley, MI 48072-3209

Mailing address

2463 Ellwood Ave
Berkley, MI 48072-3209
Phone (248) 835-5381

Other identifiers 1

IdentifierTypeStateIssuer
037967OtherMIBLUE CROSS

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
I20070917000476 MI Practitioner - Clinical Social Worker 3072607423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

725 S Adams
Suite 235
Birmingham, MI 48009-6931
Phone (248) 835-5381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suanne Zager, LMSW, Inc. CurrentSince Aug 1, 2009 Accepting new patients

Locations

725 S Adams Rd
Ste 235
Birmingham, MI 48009
Phone (248) 593-9276

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1871659920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2463 ELLWOOD AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723209",
            "telephone_number": "248-835-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2463 ELLWOOD AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723209",
            "telephone_number": "248-835-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGER",
        "first_name": "SUANNE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-30",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801046776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "037967",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.