Susan E. Dettloff, LMSW
Counselor, Mental Health in Saint Clair Shores, MI. Individual provider (NPI-1).
Details
- NPI
- 1164580460
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susan E. Dettloff
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 5, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 6801033706 | MI | Yes |
Practice location
24715 Little Mack AveSte. 200
Saint Clair Shores, MI 48080-3207
Phone 586-777-9000 · Fax 586-777-0823
Mailing address
24715 Little Mack AveSte. 200
Saint Clair Shores, MI 48080-3207
Phone 586-777-9000 · Fax 586-777-0823
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 44 Mental Health Counselor providers in Saint Clair Shores · All 1,725 providers in Saint Clair Shores
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