MR. PHILLIP THOMAS LUTTRELL – Clinical Social Worker, NPI 1588020846

Clinical Social Worker

MR. PHILLIP THOMAS LUTTRELL is a healthcare provider. based in Livonia, Michigan. specializing in Clinical Social Worker. They hold a License No. L364683792106 (MI). The NPI Number for MR. PHILLIP THOMAS LUTTRELL is 1588020846

Main info

Male

10 Years Of Experience

Accepts Medicare Assignment

Name

MR. PHILLIP THOMAS LUTTRELL

NPI

1588020846

Phone

(989) 413-9115

Address

29532 BOBRICH ST

Enumeration Date

1 January 2016

Last Update Date

21 February 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2483726800

Graduation Year

2016 (10 years ago)

PAC ID

8820331937

Group Practice PAC ID

9830141670

Professional Enrollment ID

I20190513001238

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience58

Completeness75

Years active:10State licenses:2Digital endpointsOther names

Provider Addresses for MR. PHILLIP THOMAS LUTTRELL

29532 BOBRICH ST
LIVONIA, MI 481523496
Phone: (989) 413-9115
Type: Mailing
22170 W 9 MILE RD
SOUTHFIELD, MI 480336007
Phone: (248) 372-6800
Type: Location
9600 MARSHALL RD
SOUTH LYON, MI 481788879
Phone: (989) 413-9115
Type: Mailing
100 ORNDORF DR UNIT 1326
BRIGHTON, MI 481167057
Phone: (248) 491-8447
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 48152)

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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: 9830141670View full group profile

Name	Specialty	State
HOLLY SUE METZGER (MSW, LMSW)	-	MI
MRS. MARIA CAROLINA DONNELLY (PMHNP)	Nurse Practitioner	MI
KELLY BOUIE	Nurse Practitioner	MI
JESSICA HUSH	Clinical Social Worker	MI
MS. COLLEEN L HALL-YOUNG (FNP)	-	MI
PAMELA ANN KAATZ (MSW, LMSW)	Clinical Social Worker	MI
MS. MARY ANNE KALIL (L.M.S.W.)	Clinical Social Worker	AZ
MS. DOLORES ANN BURCH (LLMSW)	Clinical Social Worker	MI
MS. ELIZABETH JANE GRAHN (LMSW)	Clinical Social Worker	MI
MRS. KIMBERLY ANN JEROUE (OTR/L)	Occupational Therapist In Private Practice	MI