Individual provider Active NPI

Tiffany Turner-Baldwin

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1255723987
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090015 Issued in MI
Practice address
2565 W Ellsworth Rd
Ann Arbor, MI 48108-9639
Phone
(734) 545-9770
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 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 6801090015 MI Primary

Addresses

Primary practice location

2565 W Ellsworth Rd
Ann Arbor, MI 48108-9639

Mailing address

3959 Silver Charm LN
Howell, MI 48843-9216
Phone (734) 678-2958

Other practice location 1

10327 Grand River Rd
suite 406
Brighton, MI 48116-6500
Phone (810) 225-3417

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
6801090015MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Minds Behavioral Health Past Accepting new patients
Infinity Wellness Center and Consulting Clinical PastSince Mar 16, 2020 Accepting new patients

Organizations & group practices 2

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1255723987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 SILVER CHARM LN",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488439216",
            "telephone_number": "734-678-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 W ELLSWORTH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089639",
            "telephone_number": "734-545-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10327 Grand River Rd",
            "address_2": "suite 406",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481166500",
            "country_code": "US",
            "telephone_number": "810-225-3417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER-BALDWIN",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.