Active NPI
Tess Lusson
- Clinical Social Worker
- Saline, MI
National Provider Identifier
1184512253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851120045
- Practice address
- 1235 Industrial Dr Ste 1
Saline, MI 48176-1742 - Phone
- (734) 780-9767
- NPI assigned
- Jun 26, 2025
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851120045 | MI | Primary |
Addresses
Primary practice location
1235 Industrial Dr Ste 1
Saline, MI 48176-1742
Mailing address
2606 Packard St
Ann Arbor, MI 48104-6804
Phone (614) 506-6562
Other practice location 1
220 Collingwood St Ste 130
Ann Arbor, MI 48103-3842
Phone (734) 263-9276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851120045 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pietruck Therapy Services PLLC | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1184512253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 PACKARD ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481046804",
"telephone_number": "614-506-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 INDUSTRIAL DR STE 1",
"city": "SALINE",
"state": "MI",
"postal_code": "481761742",
"telephone_number": "734-780-9767"
}
],
"practiceLocations": [
{
"address_1": "220 Collingwood St Ste 130",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481033842",
"country_code": "US",
"telephone_number": "734-263-9276",
"fax_number": "734-997-5015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUSSON",
"first_name": "TESS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851120045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saline, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.