Domonika Sharee Tipton, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801108720 Issued in MI

Practice address

6035 Executive Dr Ste 204
Lansing, MI 48911-5338

Phone

(734) 627-7669

Fax

(734) 627-6001

NPI assigned

Dec 5, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Uplift and Inspire, LLCGroup PAC ID 5799182994, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Uplift & Inspire,LLC

  • Mental Health Counselor
  • Lansing, MI
  • NPI 1114523156
  Medicare reassignment Care Compare group NPD Authorized official
• Better Health Therapy Center LLC

  • Clinical Social Worker
  • Okemos, MI
  • NPI 1508382367
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1104463462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 EXECUTIVE DR STE 204",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115338",
            "telephone_number": "734-627-7669",
            "fax_number": "734-627-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 EXECUTIVE DR STE 204",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115338",
            "telephone_number": "734-627-7669",
            "fax_number": "734-627-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "DOMONIKA",
        "middle_name": "SHAREE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Lynn Tillery, LMSW, CAADC, SAP
• Ricardo David Tillery, MBA, LMSW, ICAADC
• Anisha Timilsina, MD
• Haylee Tincher
• Breeyn Tinkle
• Kurt S Titze, DC
• Shreya Tiwary, MD
• TLB Enterprises Inc
• TLC Compassionte Care
• TLC Laser Center of Lansing, LLC

• Clinical Social Worker in Lansing, MI
• Providers in Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.