NPIMap

Organization Active NPI

Susan L. Decker, P.C.

  • Clinical Social Worker
  • Novi, MI
National Provider Identifier
1881925212
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801082631 Issued in MI
Legal business name
SUSAN L. DECKER, P.C.
Practice address
31210 Portside Dr
Apt 3202
Novi, MI 48377-4322
Phone
(734) 646-5327
NPI assigned
Jan 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Susan L Decker, LMSW
Title
President
Phone
(734) 646-5327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801082631 MI Primary

Addresses

Primary practice location

31210 Portside Dr
Apt 3202
Novi, MI 48377-4322

Mailing address

31210 Portside Dr
Apt 3202
Novi, MI 48377-4322
Phone (734) 646-5327

National Provider Directory

National Provider Directory

Locations

28175 Haggerty Rd
#114
Novi, MI 48377
Phone (734) 646-5327

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1881925212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31210 PORTSIDE DR",
            "address_2": "APT 3202",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483774322",
            "telephone_number": "734-646-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31210 PORTSIDE DR",
            "address_2": "APT 3202",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483774322",
            "telephone_number": "734-646-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L. DECKER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-646-5327",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.