Individual provider Active NPI

Tanya Dusseau, LMSW

  • Social Worker
  • Tecumseh, MI
National Provider Identifier
1447728829
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801108305 Issued in MI
Practice address
502 E Cummins St
Tecumseh, MI 49286-2074
Phone
(517) 423-3887
Fax
(517) 423-9433
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central Corporation of Michigan 112 clinicians

Practice addresses (Care Compare)

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

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
I20210406002183 MI Practitioner - Clinical Social Worker 5991112187 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Corporation of Michigan CurrentSince Jan 2, 2021 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Jul 1, 2025 Accepting new patients
Lenawee Community Mental Health Authority Past Accepting new patients
Lenawee Community Mental Health Authority PastSince Oct 1, 2001 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739

502 E Cummins St
Tecumseh, MI 49286
Phone (517) 423-3887

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

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

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Social Worker 104100000X 6801108305 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

502 E Cummins St
Tecumseh, MI 49286-2074

Mailing address

100 Madison Ave
Toledo, OH 43604-1516

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2025.

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1447728829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E CUMMINS ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862074",
            "telephone_number": "517-423-3887",
            "fax_number": "517-423-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSSEAU",
        "first_name": "TANYA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801108305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

Verify at the official NPI Registry.