Individual provider Active NPI

Suzanne Johnson, LMSW

  • Clinical Social Worker
  • Clinton TWP, MI
National Provider Identifier
1992972046
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801032874 Issued in MI
Practice address
41800 Hayes Rd
Clinton TWP, MI 48038-1876
Phone
(586) 799-2399
Fax
(586) 649-2137
NPI assigned
May 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801032874 MI Primary

Addresses

Primary practice location

41800 Hayes Rd
Clinton TWP, MI 48038-1876

Mailing address

41800 Hayes Rd Ste 206
Clinton TWP, MI 48038-1876
Phone (586) 799-2399

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080606000727 MI Practitioner - Clinical Social Worker 5698845394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

41800 Hayes Rd
Suite 206
Clinton Township, MI 48038-1876
Phone (586) 799-2399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Step Forward Clinical CurrentSince Apr 14, 2015 Accepting new patients

Locations

41800 Hayes Rd
Clinton Twp, MI 48038
Phone (313) 718-2435

41800 Hayes Rd
Ste 206
Clinton Twp, MI 48038
Phone (586) 718-4714

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.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1992972046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41800 HAYES RD STE 206",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381876",
            "telephone_number": "586-799-2399",
            "fax_number": "586-649-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41800 HAYES RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381876",
            "telephone_number": "586-799-2399",
            "fax_number": "586-649-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUZANNE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801032874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.