Individual provider Active NPI

Lindsey Marie Tregenza, LMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1578124392
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801117731 Issued in MI
Practice address
300 River Place Dr Ste 4950
Detroit, MI 48207-4457
Phone
(313) 497-3500
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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 6801117731 MI Primary

Addresses

Primary practice location

300 River Place Dr Ste 4950
Detroit, MI 48207-4457

Mailing address

300 River Place Dr Ste 4950
Detroit, MI 48207-4457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Starr Commonwealth Clinical Current Accepting new patients
Starr Commonwealth Past Accepting new patients
Merakey Midwest PastSince Dec 1, 2019 Accepting new patients

Locations

13725 Starr Commonwealth Rd
#R
Albion, MI 49224

13725 Starr Commonwealth Rd
Albion, MI 49224
Phone (517) 629-5591

35640 W Michigan Ave
Wayne, MI 48184
Phone (517) 630-2446

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1578124392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RIVER PLACE DR STE 4950",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RIVER PLACE DR STE 4950",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074457",
            "telephone_number": "313-497-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREGENZA",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.