Peggy Sue Susan, MSW, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801068372 Issued in MI

Practice address

38206 Delta St
Clinton Township, MI 48036-1707

Phone

(586) 419-6518

NPI assigned

May 21, 2007

Last updated

Feb 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: peggysusan@tdh.allscriptsdirect.net

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.

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  Clinical

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  NPD (past)
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  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1891904595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38206 DELTA ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361707",
            "telephone_number": "586-419-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38206 DELTA ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361707",
            "telephone_number": "586-419-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSAN",
        "first_name": "PEGGY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MSW, CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801068372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayman Mohamed Suleiman, MD
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• Balasubramaniam Sundaram
• Surgical Associates of Macomb, PLC
• Sarah Marie Susalski, PA
• Cynthia Susewitt
• Carson Sutton, MSW, LLMSW
• SVS Vision Inc (SVS Vision 09)
• SVS Vision Inc (SVS Vision Optical Centers)
• Solomiya Svytka, DO

• Clinical Social Worker in Clinton Township, MI
• Providers in Clinton Township, 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 Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.