Active NPI
Robert Tinney
- School Social Worker
- Ida, MI
National Provider Identifier
1952210403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 6801066904
- Practice address
- 3145 Prairie St
Ida, MI 48140-9778 - Phone
- (734) 269-9003
- NPI assigned
- Sep 2, 2026
- Last updated
- Sep 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 6801066904 | MI | Primary |
Addresses
Primary practice location
3145 Prairie St
Ida, MI 48140-9778
Mailing address
1101 S Raisinville Rd
Monroe, MI 48161-9047
Phone (734) 322-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1952210403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 S RAISINVILLE RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481619047",
"telephone_number": "734-322-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3145 PRAIRIE ST",
"city": "IDA",
"state": "MI",
"postal_code": "481409778",
"telephone_number": "734-269-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINNEY",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MI",
"license": "6801066904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ida, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.