Stephanie Jo-Ann Tindale, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801067441 Issued in MI

Practice address

22811 Greater Mack Ave Ste L2
Saint Clair Shores, MI 48080

Phone

(586) 335-2006

NPI assigned

Jul 10, 2006

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

Other identifiers 1

Other names 1

• Ms. Stephanie J Tindale Professional name

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

H3 - Hope, Healing and Health IncGroup PAC ID 4486915055, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• H3 - Hope Healing & Health Inc

  • Clinical Social Worker
  • St. Clair Shores, MI
  • NPI 1730509993
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1801820444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44480 HEYDENREICH RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381546",
            "telephone_number": "313-729-8160",
            "fax_number": "248-858-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22811 GREATER MACK AVE STE L2",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "48080",
            "telephone_number": "586-335-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Orchard Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483412244",
            "country_code": "US",
            "telephone_number": "248-858-7766 x217",
            "fax_number": "248-858-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44480 Heydenreich Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480381546",
            "country_code": "US",
            "telephone_number": "313-729-8160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINDALE",
        "first_name": "STEPHANIE",
        "middle_name": "JO-ANN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1883825",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "TINDALE",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Scott Thompson, PA-C
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• Rima Tinawi-Aljundi, MD
• Scott B Tisdale, DDS
• Nina Evelyn Tocco
• Gust Dino Tolias, D.D.S.
• Amanda J Toole, MD
• Lauryn Torina

• Clinical Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, 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 Aug 16, 2018; 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.