Provider Demographics
NPI:1912205972
Name:LOVELETTE, SUSAN MARIE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:MARIE
Last Name:LOVELETTE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 FOX ST
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-2129
Mailing Address - Country:US
Mailing Address - Phone:810-270-2323
Mailing Address - Fax:810-270-2324
Practice Address - Street 1:4070 HURON ST STE A
Practice Address - Street 2:
Practice Address - City:NORTH BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48461-8664
Practice Address - Country:US
Practice Address - Phone:810-270-2323
Practice Address - Fax:810-270-2324
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010928861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical