Individual provider Active NPI

Tara Elizabeth Saunders, CSW

  • Clinical Social Worker
  • Tecumseh, MI
National Provider Identifier
1376693630
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801080138 Issued in MI
Practice address
415 E Kilbuck St
Tecumseh, MI 49286
Phone
(517) 423-3887
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801080138 MI Primary

Addresses

Primary practice location

415 E Kilbuck St
Tecumseh, MI 49286

Mailing address

PO Box 548
Adrian, MI 49221
Phone (517) 265-0229

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
I20040927000694 MI Practitioner - Clinical Social Worker 1153390224 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Family Psychiatry PLC 10 clinicians
Promedica Central Corporation of Michigan 112 clinicians

Practice addresses (Care Compare)

1235 Industrial Dr
Suite 4
Saline, MI 48176-1742
Phone (734) 944-8300

200 E Russell Rd
Unit C
Tecumseh, MI 49286-2072
Phone (517) 263-9491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801080138MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emma L. Bixby Medical Center CurrentSince Sep 1, 2020 Accepting new patients
Emma L Bixby Medical Center CurrentSince Sep 1, 2020 Accepting new patients
Promedica Central Corporation of Michigan CurrentSince Mar 7, 2021 Accepting new patients
Center for Family Psychiatry, PLC Clinical CurrentSince Sep 1, 2004 Accepting new patients
Bixby Hospital Past Accepting new patients
Herrick Medical Center Past Accepting new patients
Center for Family Psychiatry, PLC Clinical PastSince Jun 19, 2007 Accepting new patients
Counselingoflenawee, PC Past Accepting new patients

Locations

818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711

1235 Industrial Dr
Ste 4
Saline, MI 48176
Phone (734) 944-8300

1235 Industrial Dr
Saline, MI 48176
Phone (734) 263-9276

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

500 E Pottawatamie St
Tecumseh, MI 49286
Phone (517) 266-0525

Organizations & group practices 9

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376693630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "49221",
            "telephone_number": "517-265-0229",
            "fax_number": "517-265-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E KILBUCK ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "49286",
            "telephone_number": "517-423-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "TARA",
        "middle_name": "ELIZABETH",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

Verify at the official NPI Registry.