BIANCA TIC (NPI# 1740763564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740763564 |
| Entity Type | Individual |
| Full Name | BIANCA TIC |
| Credential | LMSW |
| Practice Address |
26522 Van Dyke Ave Center Line MI 48015-1221 |
| Mailing Address |
6549 Town Center Dr Ste A Clarkston MI 48346-4824 |
| Practice Telephone | 5867594400 |
| Mailing Telephone | 2486206400 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801096747 | MI | Behavioral Health & Social Service Providers |
| Street Address |
26522 VAN DYKE AVE |
| City | CENTER LINE |
| State | MI |
| Zip Code | 48015-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538262480 | Phyllis Caroline Walter | Counselor | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2006-09-06 |
| 1124646492 | Ashlyn Masseth | Social Worker | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2020-07-13 |
| 1124662622 | Teri Falcon | Social Worker | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2019-10-29 |
| 1477194595 | Jessica Shannon Tripp | Social Worker | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2019-09-30 |
| 1861048829 | Chelsea Antilla | Social Worker | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2019-08-15 |
| 1942855812 | Angelica Schneider | Social Worker | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2019-08-07 |
| 1356828412 | Cynthia Norrow | Counselor | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2018-07-23 |
| 1114468352 | Kari Altman | Social Worker | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2017-03-20 |
| 1730626409 | Donna Donnetta Smith | Social Worker | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2017-01-19 |
| 1255873170 | Katherine Fox | Counselor | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2016-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043772098 | Haley Giordano | Nurse Practitioner | 8033 E 10 Mile Rd Ste 101, Center Line, MI 48015 | 2019-04-01 |
| 1699147843 | Kara Michelle Gee | Dental Hygienist | 6900 East 10 Mile Rd., Centerline, MI 48015 | 2015-10-28 |
| 1811391212 | Mycare Health Center | Clinic/Center | 6900 E 10 Mile Road, Center Line, MI 48015 | 2014-10-14 |
| 1407283831 | Barbara Miller | Licensed Practical Nurse | 8033 E. Ten Mile Rd, Centerline, MI 48015 | 2013-09-30 |
| 1043647472 | Michael Keith Lankford | Registered Nurse | 8033 East 10 Mile Rd, Center Line, MI 48015 | 2013-09-30 |
| 1336430230 | Kelly Brooke Brinkmann | Counselor | 26522 Van Dyke Ave., Center Line, MI 48015 | 2011-04-26 |
| 1083875520 | Compassion Home Health Services, L.L.C. | Home Health | 26160 Van Dyke Ave., Center Line, MI 48015 | 2008-06-18 |
| 1821282203 | Mahmoud M Selim | Otolaryngology | 8033 E. 10 Mile Rd., Ste. 104, Center Line, MI 48015 | 2007-08-29 |
| 1043436470 | Atrium Home & Healthcare Services Inc. | Home Health | 8033 E. Ten Mile Rd., Suite 114, Center Line, MI 48015 | 2007-04-17 |
| 1841342565 | Sanity Home Health Care Inc | Home Health | 8075 Ritter, Center Line, MI 48015 | 2007-01-16 |
| Find all providers in zip 48015 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646492 | Ashlyn Masseth | Social Worker | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2020-07-13 |
| 1124662622 | Teri Falcon | Social Worker | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2019-10-29 |
| 1447891627 | Rebecca June Habig | Social Worker | 6900 E 10 Mile Rd, Center Line, MI 48015-1168 | 2019-09-30 |
| 1477194595 | Jessica Shannon Tripp | Social Worker | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2019-09-30 |
| 1861048829 | Chelsea Antilla | Social Worker | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2019-08-15 |
| 1942855812 | Angelica Schneider | Social Worker | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2019-08-07 |
| 1689184863 | Rachel Leah Goldberg | Social Worker | 6900 E 10 Mile Rd, Center Line, MI 48015-1168 | 2017-10-02 |
| 1114468352 | Kari Altman | Social Worker | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2017-03-20 |
| 1730626409 | Donna Donnetta Smith | Social Worker | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2017-01-19 |
| 1659822351 | Monique Janice Jones | Social Worker | 6900 E 10 Mile Rd, Center Line, MI 48015-1168 | 2016-10-18 |
| Find all providers in CENTER LINE | ||||
| City | CENTER LINE |
| Zip Code | 48015 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.