Individual provider Active NPI

Tara Pittman, LMSW

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1225493745
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096828 Issued in MI
Practice address
22255 Greenfield Rd
Southfield, MI 48075-3710
Phone
(248) 849-4213
NPI assigned
Dec 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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 6801096828 MI Primary

Addresses

Primary practice location

22255 Greenfield Rd
Southfield, MI 48075-3710

Mailing address

22255 Greenfield Rd
Southfield, MI 48075-3710
Phone (248) 849-4213

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
I20180720000622 MI Practitioner - Clinical Social Worker 2961759063 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care and Transformation CenterGroup PAC ID 7214249424, 3 clinicians

Practice addresses (Care Compare)

2311 15 Mile Rd
Suite a
Sterling Heights, MI 48310-4842
Phone (586) 983-9280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801096828MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince Jun 13, 2018 Accepting new patients
Henry Ford Health System Clinical CurrentSince Jun 13, 2018 Accepting new patients
Care and Transformation Center CurrentSince Nov 11, 2024 Accepting new patients
Henry Ford Health Eastwood Behavioral Health Social Worker CurrentSince Jul 1, 2023 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Feb 3, 2020 Accepting new patients
Seton Health Corporation of Southeastern Michigan Clinical CurrentSince Feb 3, 2020 Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

22255 Greenfield Rd
Southfield, MI 48075
Phone (248) 557-7336

2311 15 Mile Rd
Ste A
Sterling Hts, MI 48310
Phone (586) 795-1390

Organizations & group practices 6

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": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1225493745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753710",
            "telephone_number": "248-849-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753710",
            "telephone_number": "248-849-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "TARA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.