Ms Tyeisha Latina Carr, is a
Social Worker based in Detroit, Michigan. Ms Tyeisha Latina Carr is licensed to practice in Michigan (license number 6801096791) and her current practice location is
17421 Telegraph Rd, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 531-2500.
NPI number for Ms Tyeisha Latina Carr is 1205180106 and her current mailing address is 17421 Telegraph Rd, Detroit, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205180106.
Healthcare Provider's Profile
| Full Name | Ms Tyeisha Latina Carr |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 17421 Telegraph Rd, Detroit, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205180106
- Provider Enumeration Date: 10/31/2012
- Last Update Date: 10/06/2014
Medical Identifiers
Medical identifiers for Ms Tyeisha Latina Carr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205180106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 6801096791 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Tyeisha Latina Carr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Tyeisha Latina Carr,
17421 Telegraph Rd,
Detroit, MI 48219-3165
Ph: (313) 531-2500 | Ms Tyeisha Latina Carr,
17421 Telegraph Rd,
Detroit, MI 48219-3165
Ph: (313) 531-2500 |
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