MRS. SUSAN E. DETTLOFF LMSW
NPI 1164580460
Counselor - Mental Health in Saint Clair Shores, MI

Active since December 05, 2006
24715 LITTLE MACK AVE, STE. 200, SAINT CLAIR SHORES, MI 48080(586) 777-9000(586) 777-0823 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Susan E. Dettloff Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUSAN E. DETTLOFF LMSW (NPI 1164580460) is an individual mental health provider in Saint Clair Shores, Michigan, licensed in Michigan (6801033706) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1164580460
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SUSAN E. DETTLOFFCredential: LMSW
Location Address24715 LITTLE MACK AVE, STE. 200Saint Clair Shores, MI 48080-3207
Mailing Address24715 Little Mack Ave, Ste. 200Saint Clair Shores, MI 48080-3207 · (586) 777-9000 · Fax (586) 777-0823
Fax(586) 777-0823
Sole ProprietorYes
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1164580460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6801033706
24715 LITTLE MACK AVE, Saint Clair Shores, MI 48080

Other Identifiers 1

Medicare ID-Type UnspecifiedOQ26429-068MI · Provider No.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
24715 LITTLE MACK AVE, SUITE 100
ST CLAIR SHORES, MI 48080
Specialist
24715 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Orthopaedic Surgery
24715 LITTLE MACK AVE, SUITE 100
ST CLAIR SHORES, MI 48080
Orthopaedic Surgery
24715 LITTLE MACK AVE, SUITE 100
ST CLAIR SHORES, MI 48080
Psychologist
24715 LITTLE MACK AVE, SUITE200
SAINT CLAIR SHORES, MI 48080
Counselor (Mental Health)
24715 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Physical Therapist
24715 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Psychologist (Clinical)
24715 LITTLE MACK AVE, SUITE 200
SAINT CLAIR SHORES, MI 48080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Dettloff's NPI number?

The NPI number for Susan Dettloff is 1164580460. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Susan Dettloff located?

Susan Dettloff practices at 24715 Little Mack Ave Ste. 200, Saint Clair Shores, MI 48080. The listed phone number is (586) 777-9000.

What is Susan Dettloff's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Susan Dettloff was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.