Bruce Alan Tabashneck, LMSW, ACSW, MI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801015055 Issued in MI

Practice address

29865 6 Mile Rd
Suite 112
Livonia, MI 48152-3673

Phone

(734) 522-0280

NPI assigned

Jun 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1861437626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856 CENTRAL ST",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480722153",
            "telephone_number": "248-207-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29865 6 MILE RD",
            "address_2": "SUITE 112",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523673",
            "telephone_number": "734-522-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABASHNECK",
        "first_name": "BRUCE",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LMSW, ACSW, MI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801015055",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801015055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E Szewczyk, CCP
• Mary Sue Szewczyk, PBMT
• Jennifer Szymborski, CPBMT
• Allison Louise Taamneh
• Jeffrey Lee Taasan, CRNA
• Maegan Tabbey
• Nicole D Tacoma, PSY.D, LP
• Rachel Tafini
• Pedro Tages, CCP
• John Taggett

• 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 Jul 18, 2008; 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.