MS. SUSAN J REVELS (LLMSW) – Social Worker, NPI 1255511846

MS. SUSAN J REVELS (LLMSW) is a healthcare provider. based in Monroe, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LLMSW. They hold a License No. 6801088499 (MI). The NPI Number for MS. SUSAN J REVELS (LLMSW) is 1255511846

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. SUSAN J REVELS (LLMSW)
NPI
1255511846
Phone
(734) 240-8400
Address
740 N MACOMB ST
Enumeration Date
12 November 2007
Last Update Date
12 November 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7344303220
Graduation Year
2006 (20 years ago)
PAC ID
2365570546
Group Practice PAC ID
2365696176
Professional Enrollment ID
I20100507000791
Address ID
MI481623087MO730XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for MS. SUSAN J REVELS (LLMSW)

  • 740, North Macomb Street, Monroe, Frenchtown Township, Monroe County, Michigan, 48162, United States

    MONROE, MI 481627813

    Phone: (734) 240-8400

    Type: Mailing

  • 700, Stewart Road, Monroe, Frenchtown Township, Monroe County, Michigan, 48162, United States

    STE105

    MONROE, MI 481625304

    Phone: (734) 240-1760

    Fax: (734) 240-1780

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100507000791IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48162)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365696176View full group profile
NameSpecialtyState
General SurgeryMI
Family PracticeMI
Family PracticeOH
Clinical PsychologistMI
Nurse PractitionerMI
Physician AssistantMI
Family PracticeOR
Physician AssistantOH
Clinical Social WorkerMI
-MI

Reviews

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Frequently asked questions

What NPI should I save for MS. SUSAN J REVELS (LLMSW)?
Save NPI 1255511846 if you need a stable reference for MS. SUSAN J REVELS (LLMSW).
Is MS. SUSAN J REVELS (LLMSW) active in the national directory?
MS. SUSAN J REVELS (LLMSW)'s public NPI profile is in an active state.
What field does MS. SUSAN J REVELS (LLMSW) work in?
You can think of MS. SUSAN J REVELS (LLMSW) as practicing within Social Worker. Clinical services aligned with this taxonomy classification.
Does MS. SUSAN J REVELS (LLMSW) practice in Michigan?
You will see Monroe, Michigan on file for MS. SUSAN J REVELS (LLMSW) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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