Active NPI
Michael B. Tenney, LCSW
- Clinical Social Worker
- Mesa, AZ
National Provider Identifier
1346456878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-10364
- Practice address
- 235 S El Dorado Cir
Mesa, AZ 85202-1044 - Phone
- (480) 968-2995
- NPI assigned
- May 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-10364 | AZ | Primary |
Addresses
Primary practice location
235 S El Dorado Cir
Mesa, AZ 85202-1044
Mailing address
1965 S Sandstone St
Gilbert, AZ 85296-4825
Phone (602) 628-4908
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-10364 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | Past | Accepting new patients | |
| LDS Family Services | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LDS Family Services wA Seattle Agency
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Renton, WA
- NPI 1073726485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346456878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 S SANDSTONE ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964825",
"telephone_number": "602-628-4908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 S EL DORADO CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852021044",
"telephone_number": "480-968-2995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNEY",
"first_name": "MICHAEL",
"middle_name": "B.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-10364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Tempe Behavioral Health LLC (Autism Care Therapy)
- Tempe Elementary School District
- Taylor Ann Templeton
- Tender Heart Home Care
- Marilyn Richardson Tenney, L.P.C.
- Timothy Tenney, PT, DPT
- Tephrocactus LLC (Gilbert Road Dental Care)
- Emily Elizabeth Teribery, DO
- Jenna M Ternes, PA-C
- Bridgette L Terrazas, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.