Sara T Tella, LMSW
Individual provider Active NPI Social Worker · Washington Township, MI
NPI 1194070243 · NPPES record last updated Nov 10, 2015
Key facts
- NPI
- 1194070243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6801094379 (MI)
- Practice address
- 6303 26 Mile Rd Ste 120
Washington Township, MI 48094-3851 - Phone
- (586) 467-5955
- Fax
- (586) 207-2077
- NPI assigned
- Jul 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801094379 | MI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801094379 | MI | Yes |
Addresses
Primary practice location
6303 26 Mile Rd Ste 120
Washington Township, MI 48094-3851
Mailing address
6303 26 Mile Rd Ste 120
Washington Township, MI 48094-3851
Phone (586) 467-5955
Other providers in Washington Township, MI
- Ronald Ranoni
- Yardley Nieto Resendiz
- Jason John Schomer
- Swain Family Chiropractic P.C.
- Megan Tarnowski
- Washington Medical Pharmacy LLC
- Washington Urgent Care, PLLC
- Washington Urgent Care, PLLC
All providers in Washington Township, MI · 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 Nov 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.