Dot Tetreault, LMSW, Acsw PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801081579 Issued in MI

Legal business name

DOT TETREAULT, LMSW, ACSW PLLC

Practice address

569 Wildwood Ave
Jackson, MI 49201-1048

Phone

(517) 787-8170

Fax

(517) 787-8170

NPI assigned

Oct 8, 2011

Last updated

Jul 23, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

DOT TETREAULT, LMSW, ACSW PLLCAs reported in NPPES

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

Authorized official

Name

Dororthy E Tetreault, LMSW, ACSW

Title

Owner

Phone

(517) 787-8170

Specialties & licenses 1

Addresses

Part of

Dot Tetreault LMSW Acsw PLLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joann Lucas, LMSW

  • Clinical Social Worker
  • Jackson, MI
  • NPI 1184095432
  NPD (past)

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

{
    "created_epoch": "1318032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1528342516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011048",
            "telephone_number": "517-787-8170",
            "fax_number": "517-787-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011048",
            "telephone_number": "517-787-8170",
            "fax_number": "517-787-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOT TETREAULT, LMSW, ACSW PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOT TETREAULT, LMSW, ACSW PLLC",
        "enumeration_date": "2011-10-08",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "TETREAULT",
        "authorized_official_first_name": "DORORTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-787-8170",
        "authorized_official_credential": "LMSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801081579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Donnelly
• Jaclyn Nicole Donovan, AGACNP-BC
• Aubrey Doolittle
• Rachel Doree
• Shirin Elizabeth Doshi, D.O.
• Brad Allen Double, DC
• Mark Double, D.O.
• Kyle Wayne Doughty, DO
• Emily Maybelle-Wilson Douglas
• Mya E Douglas

• Mental Health Counselor in Jackson, MI
• Providers in Jackson, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.