Individual provider Active NPI

Tammy Lesniak, LMSW

  • Clinical Social Worker
  • Utica, MI
National Provider Identifier
1487026902
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801103804 Issued in MI
Practice address
11111 Hall Rd Ste 422
Utica, MI 48317-5716
Phone
(586) 623-5095
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801099887 MI
Clinical Social Worker 1041C0700X 6801103804 MI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

11111 Hall Rd Ste 422
Utica, MI 48317-5716

Mailing address

11111 Hall Rd Ste 422
Utica, MI 48317-5716
Phone (586) 623-5095

Other practice location 1

575 E Big Beaver Rd
#260
Troy, MI 48083-1300
Phone (248) 515-8873

Other practice location 2

888 W Big Beaver Rd Ste 780
Troy, MI 48084-4745
Phone (586) 623-5095

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
I20210512002454 MI Practitioner - Clinical Social Worker 8426467952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11111 Hall Rd
Suite 422
Utica, MI 48317-5716
Phone (586) 623-5095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801099887MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychotherapy Services LLC Clinical CurrentSince Jul 21, 2017 Accepting new patients
Ann Marie Lungu LMSW LLC Clinical CurrentSince Jun 18, 2023 Accepting new patients
Emotional Advantage LLC PastSince Dec 22, 2021 Accepting new patients

Locations

11111 Hall Rd
Ste 422
Utica, MI 48317
Phone (248) 520-6710

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": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1487026902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 HALL RD STE 422",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175716",
            "telephone_number": "586-623-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 HALL RD STE 422",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175716",
            "telephone_number": "586-623-5095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 E Big Beaver Rd",
            "address_2": "#260",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480831300",
            "country_code": "US",
            "telephone_number": "248-515-8873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 W Big Beaver Rd Ste 780",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844745",
            "country_code": "US",
            "telephone_number": "586-623-5095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESNIAK",
        "first_name": "TAMMY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099887",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103804",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

Verify at the official NPI Registry.