Tanesha Terrell, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801119514 Issued in MI

Practice address

30061 John Rivers Dr
New Haven, MI 48048-1818

Phone

(586) 746-4297

NPI assigned

Nov 30, 2020

Last updated

Dec 27, 2024By the provider in NPPES

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Clair County Community Mental Health AuthorityGroup PAC ID 7416861984, 54 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Clair County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Port Huron, MI
  • NPI 1689783672
  Medicare reassignment Care Compare group NPD
• Lifelens Psychological and Counseling Services

  • Psychologist
  • Waterford, MI
  • NPI 1083015499

  Clinical

  Medicare reassignment NPD
• St Clair County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Marine City, MI
  • NPI 1821133265
  NPD
• St Clair County Community Mental Health Sud Services - Marine City

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Marine City, MI
  • NPI 1811535933
  NPD

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1699370627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 KING RD",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480391428",
            "telephone_number": "810-765-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30061 JOHN RIVERS DR",
            "city": "NEW HAVEN",
            "state": "MI",
            "postal_code": "480481818",
            "telephone_number": "586-746-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "TANESHA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Joseph Sobers, DDS
• Adrianne Jones Steiner, MA LPC CAADC NCC
• TC Counseling Transformations, PLLC
• Tender Care Pediatrics, PLLC
• Brooke Tenhopen
• Thriveclearmind LLC
• Katherine Tyrrell, RD
• Kimberly Irene Vogel, DDS
• Anne Miyoung Vondrachek, M.D.
• Kimberly Williams

• Clinical Social Worker in New Haven, MI
• Providers in New Haven, 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 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.