Individual provider Active NPI

Iris Sue Tucker-Lloyd, LMSW, LPC

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1447330840
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801065314 Issued in MI
Practice address
2925 Russell St
Detroit, MI 48207-4825
Phone
(313) 396-5300
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401007866 MI
Clinical Social Worker 1041C0700X 6801065314 MI Primary

Addresses

Primary practice location

2925 Russell St
Detroit, MI 48207-4825

Mailing address

8031 Tireman St
Detroit, MI 48204-3469
Phone (313) 579-9451

Other practice location 1

100 Northbound Gratiot Ave
Mount Clemens, MI 48043-2301
Phone (586) 783-2950

Other practice location 2

8031 Tireman St
Detroit, MI 48204-3469
Phone (313) 579-9451

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
I20061128000260 MI Practitioner - Clinical Social Worker 5193723260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Team Mental Health Services IncGroup PAC ID 2264451830, 33 clinicians

Practice addresses (Care Compare)

2925 Russell St
Detroit, MI 48207-4825
Phone (313) 396-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401007866MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Team Mental Health Services Inc. CurrentSince Jun 18, 2023 Accepting new patients
Total Comprehensive Behavioral Care Current Accepting new patients
Faith Counseling CurrentSince May 1, 2022 Accepting new patients
Team Wellness Center CurrentSince Jun 18, 2023 Accepting new patients
Renewal Christian Counseling Inc Clinical Past Accepting new patients

Locations

290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289

2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714

5555 Conner St
Ste 12071208
Detroit, MI 48213
Phone (313) 579-9451

25199 Hoover Rd
Warren, MI 48089
Phone (248) 759-7771

Organizations & group practices 5

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1447330840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 TIREMAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482043469",
            "telephone_number": "313-579-9451",
            "fax_number": "313-526-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 RUSSELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074825",
            "telephone_number": "313-396-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Northbound Gratiot Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Clemens",
            "state": "MI",
            "postal_code": "480432301",
            "country_code": "US",
            "telephone_number": "586-783-2950",
            "fax_number": "586-690-4333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8031 Tireman St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482043469",
            "country_code": "US",
            "telephone_number": "313-579-9451",
            "fax_number": "313-526-5747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER-LLOYD",
        "first_name": "IRIS",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LMSW, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401007866",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.