Individual provider Active NPI

Tamara Sue Bayless

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1174131148
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801107225 Issued in MI
Practice address
5303 S Cedar St
Lansing, MI 48911-3800
Phone
(517) 346-8318
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801107225 MI Primary

Addresses

Primary practice location

5303 S Cedar St
Lansing, MI 48911-3800

Mailing address

812 E Jolly Rd Ste 311
Lansing, MI 48910-6825
Phone (517) 346-8275

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251009003715 MI Practitioner - Clinical Social Worker 4981101391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Iowa, RJ & L Carver College of Medicine, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

812 E Jolly Rd
Suite 210
Lansing, MI 48910-6821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801107225MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Authority Clinton Eaton Ingham Counties CurrentSince Jun 4, 2025 Accepting new patients

Locations

812 E Jolly Rd
Ste 216
Lansing, MI 48910
Phone (517) 346-9525

5303 S Cedar St
Lansing, MI 48911
Phone (517) 887-4302

812 E Jolly Rd
Ste 311
Lansing, MI 48910
Phone (517) 346-8000

812 E Jolly Rd
Ste 210
Lansing, MI 48910
Phone (517) 237-7162

812 E Jolly Rd
Lansing, MI 48910
Phone (517) 237-7162

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1174131148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 E JOLLY RD STE 311",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489106825",
            "telephone_number": "517-346-8275",
            "fax_number": "517-346-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113800",
            "telephone_number": "517-346-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLESS",
        "first_name": "TAMARA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.