Individual provider Active NPI

Tyler White, LMSW

  • Social Worker
  • Troy, MI
National Provider Identifier
1922675735
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801118212 Issued in MI
Practice address
2250 Butterfield Dr
Troy, MI 48084-3404
Phone
(248) 831-1057
NPI assigned
Jun 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 6801118212 MI Primary

Addresses

Primary practice location

2250 Butterfield Dr
Troy, MI 48084-3404

Mailing address

2833 Barclay Way
Ann Arbor, MI 48105-9461
Phone (586) 623-0354

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
I20240717001226 MI Practitioner - Clinical Social Worker 3072058775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

89 W S Blvd
200 Great Lakes Psychology Group
Troy, MI 48085-1612
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851109869MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince May 15, 2024 Accepting new patients
Lifeline Center, PLLC Social Worker PastSince Jun 1, 2021 Accepting new patients

Locations

3131 S State St
Ste 226
Ann Arbor, MI 48108
Phone (734) 430-0881

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

89 W South Blvd
Troy, MI 48085
Phone (248) 891-2607

2250 Butterfield Dr
Ste 150
Troy, MI 48084
Phone (248) 963-1916

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1922675735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 BARCLAY WAY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059461",
            "telephone_number": "586-623-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 BUTTERFIELD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843404",
            "telephone_number": "248-831-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TYLER",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801118212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.