MS. SUSAN J REVELS (NPI# 1255511846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255511846 |
| Entity Type | Individual |
| Full Name | MS. SUSAN J REVELS |
| Credential | LLMSW |
| Practice Address |
700 Stewart Rd Ste105 Monroe MI 48162-5304 |
| Mailing Address |
740 N Macomb St Monroe MI 48162-7813 |
| Practice Telephone | 7342401760 |
| Practice Fax Number | 7342401780 |
| Mailing Telephone | 7342408400 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801088499 | MI | Behavioral Health & Social Service Providers |
| Street Address |
700 STEWART RD STE105 |
| City | MONROE |
| State | MI |
| Zip Code | 48162-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801996210 | Promedica Monroe Skilled Nursing and Rehab | Skilled Nursing Facility | 700 Stewart Rd, Monroe, MI 48162-5304 | 2006-09-25 |
| 1760014484 | Rachel Berky Johnson | Speech-Language Pathologist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2020-02-11 |
| 1760037808 | Pamudu Dissanayake | Occupational Therapist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2019-08-06 |
| 1003471335 | Katelyn E Grau | Physical Therapist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2019-05-02 |
| 1861963316 | Paige Wittler | Speech-Language Pathologist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2018-12-10 |
| 1356848972 | Dawn Marie Foshag | Occupational Therapist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2018-04-10 |
| 1013413939 | Brian Carmona | Occupational Therapist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2018-03-30 |
| 1760984876 | Christina Danford Parker | Speech-Language Pathologist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2018-03-05 |
| 1417460361 | Elishia Kay Sutter | Physical Therapist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2017-11-14 |
| 1326581760 | Marianne Strzelecki | Occupational Therapist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2016-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683422 | Nicholas Devon Turner | Social Worker | 3624 Curry St, Monroe, LA 71203-5618 | 2020-06-16 |
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1891269924 | Monroe Therapy Services, Pllc | Social Worker | 410 Waterlemon Way, Monroe, NC 28110-8666 | 2019-01-11 |
| 1639657489 | Cassandra Rae Boccassini | Social Worker | 11 Berkley Ter, Monroe, NY 10950-1060 | 2018-08-03 |
| 1760991152 | Amy Lafferty | Social Worker | 1001 S. Raisinville Rd., Monroe, MI 48161-0726 | 2017-09-28 |
| 1871022087 | Maria A Smoot | Social Worker | 206 Pecan Dr Apt A, Monroe, LA 71203-4918 | 2017-06-09 |
| 1821533639 | Geoi Smart | Social Worker | 1602 Oaklawn Dr, Monroe, LA 71202 | 2017-01-03 |
| 1386195592 | Andrew Shehadeh Butler | Social Worker | 4909 Tanager Dr, Monroe, MI 48161-9644 | 2016-10-24 |
| 1033660295 | Tanya Brandy | Social Worker | 334 Oregon Trl, Monroe, LA 71202-3724 | 2016-10-21 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.