Tina Louise, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801092871 Issued in MI

Practice address

26711 Woodward Ave Ste 208
Huntington Woods, MI 48070-1368

Phone

(248) 703-4920

Fax

(248) 458-4183

NPI assigned

Jun 8, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Intersectional Insight, PLLC

  • Clinical Social Worker
  • Huntington Woods, MI
  • NPI 1558832873
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1336433101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE STE 208",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701368",
            "telephone_number": "248-703-4920",
            "fax_number": "248-458-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE STE 208",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701368",
            "telephone_number": "248-703-4920",
            "fax_number": "248-458-4183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4880 Lawndale St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482102010",
            "country_code": "US",
            "telephone_number": "313-846-6030 x1126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUISE",
        "first_name": "TINA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI",
            "identifier": "0964543",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Robert Lessem, MD
• Lanny Ronald Lesser, D.D.S.
• Level 1 Health Systems of Michigan
• Living Well Home Health Care, LLC
• Louis Hoffman MD PC
• LS Kohn Therapy PLLC
• Julie Lublin, LPC
• Emily Diane Macinnis-Weir, LMT
• Nancy M Mannisto, MD
• Brenda McDowell, M.S. CCC-A

• Clinical Social Worker in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.