Susan E. Watts, M.S.W., PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801063521 Issued in MI

Legal business name

SUSAN E. WATTS, M.S.W., PC

Practice address

5260 Church Rd
Ann Arbor, MI 48105-9429

Phone

(734) 665-8510

Fax

(734) 665-8510

NPI assigned

May 18, 2008

Last updated

May 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan E Watts, L.M.S.W.NPI 1114137908

Title

President

Phone

(734) 665-8510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Elisabeth Watts, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1114137908

  IL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211068800000",
    "number": "1942467048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5260 CHURCH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059429",
            "telephone_number": "734-665-8510",
            "fax_number": "734-665-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 CHURCH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059429",
            "telephone_number": "734-665-8510",
            "fax_number": "734-665-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN E. WATTS, M.S.W., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-18",
        "last_updated": "2008-05-18",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-665-8510",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel David Surmont, D.D.S.
• Aaron Surrey, M.D.
• Taryn-Leigh Surtees, MD
• Kristina Katherine Susalla, PA-C
• Michael David Susalla
• Susan J. Kennedy, MD, PC
• Catherine Susan
• Susanna M Hanrath, LMSW, PLLC
• Susannah Parke, D.O., PLC
• Jeremy Broder Sussman, MD

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, 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 May 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.