Tuckerville
Clinical Social Worker · Wayne, MI
At a glance
35230 E Michigan Ave, Wayne, MI 48184-3698
NPPES record updated Sep 13, 2025. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
35230 E Michigan AveWayne, MI 48184-3698
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Clinical Social Worker
- Taxonomy code
- 1041C0700X
- Enumeration date
- Oct 29, 2018
- Record updated
- Sep 13, 2025
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
101Y00000X
Clinical Social Worker
1041C0700X · Primary
Specialty details in registry
261QM0801X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
35230 E Michigan AveWayne, MI 48184-3698
- Phone
- (313) 312-5706
- Fax
- (734) 345-4104
Mailing address
PO BOX 125BELLEVILLE, MI 481120125
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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