Tatyana Fleysher, MSW
Individual provider Active NPI Clinical Social Worker · Owosso, MI
NPI 1114285392 · NPPES record last updated Apr 29, 2019
Key facts
- NPI
- 1114285392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801093147 (MI)
- Practice address
- 1555 Industrial Dr
Owosso, MI 48867-9775 - Phone
- (989) 723-6791
- NPI assigned
- Apr 25, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Wayne State University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Downriver Mental Health Clinic PC
Practice addresses (Care Compare)
1100 Torrey Rd
Suite 100
Fenton, MI 48430-3327
Phone (810) 494-7180
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190520000017 | MI | Practitioner - Clinical Social Worker | 0941548507 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Mental Health Clinic PC | Clinical | Current |
Accepting new patients |
| Downriver Mental Health Clinic PC | Clinical | Current |
Accepting new patients |
Locations
1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787
1100 Torrey Rd
Ste 100
Fenton, MI 48430
Phone 8104947180106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801093147 | MI | Yes |
Addresses
Primary practice location
1555 Industrial Dr
Owosso, MI 48867-9775
Mailing address
PO Box 428
Owosso, MI 48867-0428
Other providers in Owosso, MI
- Cindy Fisk
- Nichole Fladseth
- Megan Flagg
- Jodi S Flanders
- Ginger Michelle Flanner
- Flint Clinical Pathologist PC
- FMS Owosso, LLC
- FMS Owosso, LLC
- Maurina Kay Ford
- Gina Lindsey Fortino
All providers in Owosso, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.