Tieesha Ketchings

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801108392 Issued in MI

Practice address

32306 Huber LN
Fraser, MI 48026-2128

Phone

(313) 461-3091

NPI assigned

Nov 19, 2019

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

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• TTK Counseling Services, LLC

  • Clinical Social Worker
  • Fraser, MI
  • NPI 1326743212
  NPD Authorized official

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1699311290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32306 HUBER LN",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262128",
            "telephone_number": "313-461-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32306 HUBER LN",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262128",
            "telephone_number": "313-461-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHINGS",
        "first_name": "TIEESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Kakish, DO
• Lindsay L Kalinowski, PA-C
• Nichole Kardas, LLP
• Simon Katrib
• Keith D Nowicki DDS PC (Dr Keith Nowicki)
• Savannah Joy King
• Elizabeth J Kit, COTA/L
• Madison Kolassa, FNP-BC
• Chad Michael Kovala, D.O.
• Stacy Lynn Kreger, OD

• Clinical Social Worker in Fraser, MI
• Providers in Fraser, 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 7, 2022; 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.