Shawn Mobley-Sulich, MSW PH D

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801034965 Issued in MI

Practice address

2670 Covington PL
Bloomfield Hills, MI 48301-2663

Phone

(248) 594-0093

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1891725859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 COVINGTON PL",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483012663",
            "telephone_number": "248-594-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 COVINGTON PL",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483012663",
            "telephone_number": "248-594-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY-SULICH",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "MSW PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010165",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801034965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.