Individual provider Active NPI

Tanner Blaney, LLMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1457045353
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851116606 Issued in MI
Practice address
10201 E Jefferson Ave
Detroit, MI 48214-3149
Phone
(888) 813-8326
NPI assigned
Jun 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 6851116606 MI Primary

Addresses

Primary practice location

10201 E Jefferson Ave
Detroit, MI 48214-3149

Mailing address

440 Alfred St Apt 604
Detroit, MI 48201-3188

Other practice location 1

23995 Novi Rd Ste C101
Novi, MI 48375-5439
Phone (517) 367-0670

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
I20260122003056 MI Practitioner - Clinical Social Worker 1658858402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

290 Town Ctr Dr
Suite 400
Dearborn, MI 48126

290 Town Ctr Dr
Suite 400
Dearborn, MI 48126-2765

2950 W Howell Rd
Mason, MI 48854-9329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851116606MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
DBT Institute of Mi CurrentSince Jan 20, 2026 Accepting new patients
DBT Institute of Mi Clinical CurrentSince Jan 20, 2026 Accepting new patients

Locations

2950 W Howell Rd
Mason, MI 48854
Phone (517) 367-0670

Organizations & group practices 3

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1457045353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 ALFRED ST APT 604",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482013188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143149",
            "telephone_number": "888-813-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23995 Novi Rd Ste C101",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483755439",
            "country_code": "US",
            "telephone_number": "517-367-0670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANEY",
        "first_name": "TANNER",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.