Individual provider Active NPI

Tessa Bean, LLMSW

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1285301119
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851101130 Issued in MI
Practice address
1170 Charter Dr Ste B
Flint, MI 48532-3587
Phone
(810) 877-6343
Fax
(810) 674-0044
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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 6851101130 MI Primary

Addresses

Primary practice location

1170 Charter Dr Ste B
Flint, MI 48532-3587

Mailing address

1170 Charter Dr Ste B
Flint, MI 48532-3587
Phone (810) 877-6343

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
6851101130MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Traini Counseling Group P.C. Clinical CurrentSince Aug 29, 2021 Accepting new patients

Locations

1170 Charter Dr
Ste B
Flint, MI 48532
Phone (810) 820-4533

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1285301119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 CHARTER DR STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323587",
            "telephone_number": "810-877-6343",
            "fax_number": "810-674-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CHARTER DR STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323587",
            "telephone_number": "810-877-6343",
            "fax_number": "810-674-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "TESSA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851101130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.