Tanager Psychotherapy LL

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TANAGER PSYCHOTHERAPY LL

Practice address

19500 Middlebelt Rd Ste 224
Livonia, MI 48152-2196

Phone

(248) 955-3108

NPI assigned

Mar 14, 2023

Last updated

Mar 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charon Denyse Normand-Widmer, MSWNPI 1861010712

Title

Clinician

Phone

(248) 955-3108

Specialties & licenses 1

Addresses

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.

• Charon Normand-Widmer, LLMSW

  • Clinical Social Worker
  • Farmington Hills, MI
  • NPI 1861010712
  NPD Authorized official

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1629779988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 MIDDLEBELT RD STE 224",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522196",
            "telephone_number": "248-955-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 MIDDLEBELT RD STE 224",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522196",
            "telephone_number": "248-955-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANAGER PSYCHOTHERAPY LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "NORMAND-WIDMER",
        "authorized_official_first_name": "CHARON",
        "authorized_official_middle_name": "DENYSE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "248-955-3108",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Talmon Seifert
• Leslie Szubeczak Talty, M.A., CCC-SLP
• Preeti Talwar
• Zeinab M Tamam, M.D
• Hadeel Tamer
• John Alex Tanalgo, PT
• Kassandra Elaine Tanana, OTR/L
• Kali Tangalakis, PTA
• Keishla Marie Tanner-Pedraza
• Hannah Tanner

• Clinical Social Worker in Livonia, MI
• Providers in Livonia, 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 Mar 14, 2023; 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.