Individual provider Active NPI

Tracy Lynn Turpin-Mogelnicki, LMSW

  • Social Worker
  • Brighton, MI
National Provider Identifier
1760984660
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801071130 Issued in MI
Practice address
10524 Grand River Rd Ste 107C
Brighton, MI 48116-9559
Phone
(248) 219-0937
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801071130 MI Primary

Addresses

Primary practice location

10524 Grand River Rd Ste 107C
Brighton, MI 48116-9559

Mailing address

6147 Island Lake Dr
Brighton, MI 48116-9527
Phone (248) 219-0937

Other practice location 1

2200 Genoa Business Park Dr
Brighton, MI 48114-5328
Phone (248) 219-0937

Other names 1

  • Tracy Lynn Mogelnicki Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180720001759 MI Practitioner - Clinical Social Worker 6709133846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10524 Grand River Rd
Suite 107C
Brighton, MI 48116-9559
Phone (248) 219-0937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801071130MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Imhof LLC Social Worker CurrentSince Nov 6, 2022 Accepting new patients
TT Counseling Services LLC Social Worker CurrentSince Nov 2, 2022 Accepting new patients

Locations

10524 Grand River Rd
Ste 107C
Brighton, MI 48116
Phone (248) 219-0937

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1760984660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6147 ISLAND LAKE DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169527",
            "telephone_number": "248-219-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 GRAND RIVER RD STE 107C",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169559",
            "telephone_number": "248-219-0937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Genoa Business Park Dr",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481145328",
            "country_code": "US",
            "telephone_number": "248-219-0937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURPIN-MOGELNICKI",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801071130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "MOGELNICKI",
            "middle_name": "LYNN",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.