Michael Lovell Tucker, LMSW,LPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801065630 Issued in MI

Practice address

8633 Lauder St
Detroit, MI 48228-2421

Phone

(313) 720-6702

Fax

(313) 846-1975

NPI assigned

Feb 28, 2007

Last updated

Mar 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apex Behavioral Health Western WayneGroup PAC ID 4183885593, 6 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apex Behavioral Health Western Wayne

  • Clinical Social Worker
  • Westland, MI
  • NPI 1962779710
  Medicare reassignment Care Compare group NPD
• Interventive Behavioral Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Westland, MI
  • NPI 1407188386
  Authorized official Same address or phone
• Apex Behavioral Health,PLLC

  • Social Worker
  • Westland, MI
  • NPI 1821025347
  NPD (past)
• New Perspective Treatment Center, LLC

  • Clinical Psychologist
  • Detroit, MI
  • NPI 1417084591
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1114054780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8633 LAUDER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482282421",
            "telephone_number": "313-720-6702",
            "fax_number": "313-846-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8633 LAUDER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482282421",
            "telephone_number": "313-720-6702",
            "fax_number": "313-846-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MICHAEL",
        "middle_name": "LOVELL",
        "name_prefix": "Mr.",
        "credential": "LMSW,LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401002813",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Tucker
• Evelyn Jean Tucker
• Jerry Tucker III
• Larhonda Tucker
• Latrese Tucker
• Michele Lynn Tucker, LLMSW
• Pertina Tucker, LBSW
• Taylor Lynn Tucker, CPNP
• Vikkie Ann Tucker, MLMSW
• Charneil Tuggle

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, 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 Mar 25, 2025; 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.