Provider Demographics
NPI:1457796450
Name:THOMPSON-DOERING, SUSAN M (MSW, LMSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:THOMPSON-DOERING
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:SUSIE
Other - Middle Name:
Other - Last Name:THOMPSON-DOERING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:P.O. BOX 3049
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48106-3049
Mailing Address - Country:US
Mailing Address - Phone:734-412-6143
Mailing Address - Fax:734-210-1157
Practice Address - Street 1:46240 SPINNING WHEEL DRIVE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187
Practice Address - Country:US
Practice Address - Phone:734-412-6143
Practice Address - Fax:734-210-1157
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-03
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMI68010952531041C0700X
MIL24612831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical