Tonya Trezelle Cosey, MSW, LCSW

Individual provider Active NPI Mental Health Counselor · Cassopolis, MI

NPI 1881699593 · NPPES record last updated Apr 26, 2022

Key facts

NPI
1881699593
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
1041C0700X (MI)
Practice address
960 E State St
Cassopolis, MI 49031-9339
Phone
(269) 445-2451
Fax
(269) 445-3216
NPI assigned
Jun 17, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040608000184 MI Practitioner - Clinical Social Worker 3173506615

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1041C0700XMIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1041C0700X MI Yes

Addresses

Primary practice location

960 E State St
Cassopolis, MI 49031-9339

Mailing address

313 Orchard St
Dowagiac, MI 49047-1253
Phone (269) 782-2640

Other names

  • Miss Tonya Trezelle Cosey Professional name

Other providers in Cassopolis, MI

All providers in Cassopolis, MI · Mental Health Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.