Active NPI
Tanner Schudlich, LMSW-C
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1508596206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801118354
- Practice address
- 120 E Liberty St Ste 215
Ann Arbor, MI 48104-2156 - Phone
- (734) 489-9475
- NPI assigned
- Jun 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801118354 | MI | Primary |
Addresses
Primary practice location
120 E Liberty St Ste 215
Ann Arbor, MI 48104-2156
Mailing address
9862 Cambridge PL
Ypsilanti, MI 48198-3692
Phone (586) 817-4024
Other practice location 1
2006 Hogback Rd Ste 8
Ann Arbor, MI 48105-9750
Phone (734) 559-3549
Other practice location 2
9862 Cambridge Pl
Ypsilanti, MI 48198-3692
Phone (586) 817-4024
Other practice location 3
120 E Liberty St Ste 310
Ann Arbor, MI 48104-2181
Phone (734) 489-9475
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801118354 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1508596206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9862 CAMBRIDGE PL",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481983692",
"telephone_number": "586-817-4024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E LIBERTY ST STE 215",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042156",
"telephone_number": "734-489-9475"
}
],
"practiceLocations": [
{
"address_1": "2006 Hogback Rd Ste 8",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481059750",
"country_code": "US",
"telephone_number": "734-559-3549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9862 Cambridge Pl",
"address_purpose": "LOCATION",
"city": "Ypsilanti",
"state": "MI",
"postal_code": "481983692",
"country_code": "US",
"telephone_number": "586-817-4024",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 E Liberty St Ste 310",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481042181",
"country_code": "US",
"telephone_number": "734-489-9475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHUDLICH",
"first_name": "TANNER",
"credential": "LMSW-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-15",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801118354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.