Active NPI
Tiffany Hackett
- Social Worker
- Detroit, MI
National Provider Identifier
1063321602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851122498
- Practice address
- 4444 2ND Ave Ste 36042
Detroit, MI 48201-1216 - Phone
- (313) 673-9188
- NPI assigned
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6851122498 | MI | Primary |
Addresses
Primary practice location
4444 2ND Ave Ste 36042
Detroit, MI 48201-1216
Mailing address
2224 Golfside Rd Apt 250
Ypsilanti, MI 48197-1593
Phone (313) 673-9188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1063321602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 GOLFSIDE RD APT 250",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971593",
"telephone_number": "313-673-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 2ND AVE STE 36042",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011216",
"telephone_number": "313-673-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKETT",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851122498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.