Individual provider Active NPI

Tiyanna Shanel Payne, LMSW

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1457641490
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089377 Issued in MI
Practice address
5656 S Cedar St
Lansing, MI 48911-3894
Phone
(517) 267-3925
Fax
(269) 223-6202
NPI assigned
Apr 11, 2011
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 6801089377 MI Primary

Addresses

Primary practice location

5656 S Cedar St
Lansing, MI 48911-3894

Mailing address

5859 W Saginaw Hwy # 145
Lansing, MI 48917-2460
Phone (269) 209-4711

Other practice location 1

5859 W Saginaw Hwy # 145
Lansing, MI 48917
Phone (269) 209-4711

Other names 1

  • Tiyanna Shanell Whitt Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801089377MIMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1457641490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5859 W SAGINAW HWY # 145",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172460",
            "telephone_number": "269-209-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113894",
            "telephone_number": "517-267-3925",
            "fax_number": "269-223-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5859 W Saginaw Hwy # 145",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "48917",
            "country_code": "US",
            "telephone_number": "269-209-4711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "TIYANNA",
        "middle_name": "SHANEL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIYANNA",
            "last_name": "WHITT",
            "middle_name": "SHANELL",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.