Tanya Terrell Thomas, LMSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801061105 Issued in MI

Practice address

17421 Telegraph Rd
Detroit, MI 48219-3165

Phone

(313) 531-2500

Fax

(313) 255-3471

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Burdette and Doss Psychological Services LC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southfield, MI
  • NPI 1073647731

  Clinical

  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1629103270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TERRELL CHRISTIAN COUNSELING & BEHAVIORAL HEALTH",
            "address_2": "17340 W. TWELVE MILE STE 206",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766322",
            "telephone_number": "248-483-3333",
            "fax_number": "248-356-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17421 TELEGRAPH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193165",
            "telephone_number": "313-531-2500",
            "fax_number": "313-255-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TANYA",
        "middle_name": "TERRELL",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801061105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonda Lasha Thomas, MS LLPC
• Sophia Thomas
• Susamma Thomas
• Tacarra Thomas
• Tanisha Thomas, LLMSSW
• Tateyana Thomas
• Taylor Ajena Thomas
• Tenesia Thomas
• Tracy Jo Thomas, NP
• Vasiliki Thomas

• 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 Oct 19, 2016; 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.