Individual provider Active NPI

Tess Lusson

  • Clinical Social Worker
  • Saline, MI
National Provider Identifier
1184512253
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851120045 Issued in MI
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

Updated by the provider on Jun 26, 2025

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 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

LicenseStateTypeSpecialty
6851120045MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pietruck Therapy Services PLLC Clinical PastSince Apr 14, 2024 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.

Verify at the official NPI Registry.