Provider Demographics
NPI:1649062761
Name:SUSANNA M HANRATH, LMSW, PLLC
Entity type:Organization
Organization Name:SUSANNA M HANRATH, LMSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER/THERAPIST/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HANRATH
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-323-8320
Mailing Address - Street 1:3275 N TERRITORIAL RD W
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9224
Mailing Address - Country:US
Mailing Address - Phone:734-323-8320
Mailing Address - Fax:
Practice Address - Street 1:3275 N TERRITORIAL RD W
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9224
Practice Address - Country:US
Practice Address - Phone:734-323-8320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty