Individual provider Active NPI

Tennery Bell-IV Hicks

  • Clinical Social Worker
  • Monroe, MI
National Provider Identifier
1568218535
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1933 S Custer Rd
Monroe, MI 48161-1828
Phone
(734) 847-3802
NPI assigned
Apr 29, 2024
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1933 S Custer Rd
Monroe, MI 48161-1828

Mailing address

8765 Lewis Ave
Temperance, MI 48182-9583
Phone (734) 847-3802

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
I20250412000109 MI Practitioner - Clinical Social Worker 0547784415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choices Counseling Solutions LLCGroup PAC ID 9739548421, 6 clinicians

Practice addresses (Care Compare)

15366 S Dixie Hwy
Monroe, MI 48161-3773
Phone (734) 210-1071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Center of Michigan,Inc CurrentSince Jun 7, 2025 Accepting new patients
Family Medical Center of Michigan,Inc Current Accepting new patients
Mini Mitten Pediatric Therapy, LLC CurrentSince Jan 7, 2026 Accepting new patients
Choices Counseling Solutions LLC CurrentSince Mar 12, 2025 Accepting new patients
Family Medical Center of Michigan,Inc PastSince Jan 28, 2024 Accepting new patients
Family Medical Center of Michigan, Inc PastSince Sep 27, 2020 Accepting new patients

Locations

1008 Riverview Ave
Monroe, MI 48162

1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546

1135 Riverview Ave
Rm 100
Monroe, MI 48162

15366 S Dixie Hwy
Monroe, MI 48161
Phone (734) 210-1071

503 Washington St
Rm 150
Monroe, MI 48161

7447 N Telegraph Rd
Monroe, MI 48162
Phone (734) 888-6464

7447 N Telegraph Rd
#M
Monroe, MI 48162
Phone (734) 888-6464

901 N Macomb St
Monroe, MI 48162
Phone (734) 243-2410

7433 Jackman Rd
Temperance, MI 48182
Phone (734) 210-1071

8765 Lewis Ave
Temperance, MI 48182

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1568218535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 LEWIS AVE",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829583",
            "telephone_number": "734-847-3802",
            "fax_number": "734-847-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 S CUSTER RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611828",
            "telephone_number": "734-847-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "TENNERY",
        "middle_name": "BELL-IV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.