Tonya Renee Fleming-Fuller, LMSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801033233 Issued in MI

Practice address

2051 W Grand Blvd
Detroit, MI 48208-1105

Phone

(313) 961-3487

NPI assigned

Dec 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Oakland Integrated Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Pontiac, MI
  • NPI 1316214299
  NPD
• Oakland Integrated Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Pontiac, MI
  • NPI 1740099464
  NPD

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1598093544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2898 W. BLOOMFILED OAKS CT.",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48324",
            "telephone_number": "248-417-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081105",
            "telephone_number": "313-961-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING-FULLER",
        "first_name": "TONYA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801033233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Rose Flannery
• Michelle Ann Flatt, MSN, ACNP-BC
• Sarah Jane Flatt, AU.D.
• Louise L. Fleece, M.D.
• Fleming McKoy Counseling LLC
• Caitlin Fleming, LLPC
• Carol Lynn Fleming
• Christopher Fleming
• George Robert Fleming Jr., PH.D.
• Jennifer Ann Fleming, RN, MSN, ACNP-BC

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.