Active NPI
Susannah Bliss Wingfield
- Social Worker
- Dearborn, MI
National Provider Identifier
1922592328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801102784
- Practice address
- 5200 Stecker St
Dearborn, MI 48126-3813 - Phone
- (828) 713-7567
- NPI assigned
- Jun 19, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801102784 | MI | Primary |
Addresses
Primary practice location
5200 Stecker St
Dearborn, MI 48126-3813
Mailing address
5200 Stecker St
Dearborn, MI 48126-3813
Phone (828) 713-7567
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 |
|---|---|---|---|
| 6801102784 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Mental Health Services Inc. | Past | Accepting new patients |
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.
-
- Dentist
- Detroit, MI
- NPI 1306383252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1922592328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 STECKER ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263813",
"telephone_number": "828-713-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 STECKER ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263813",
"telephone_number": "828-713-7567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGFIELD",
"first_name": "SUSANNAH",
"middle_name": "BLISS",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-19",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801102784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.