TAMIA WALLER LLMSW
NPI 1104654185
Social Worker - Clinical in Plymouth, MI

Active since July 23, 2024PECOS Enrolled
340 N MAIN ST STE 200, PLYMOUTH, MI 48170(734) 335-0028 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 26, 2026, Jul 23, 2024 (2 updates tracked since 2024).

About Tamia Waller Llmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMIA WALLER LLMSW (NPI 1104654185) is an individual clinical provider in Plymouth, Michigan, licensed in Michigan (6801121073) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104654185
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTAMIA WALLERCredential: LLMSW
Location Address340 N MAIN ST STE 200Plymouth, MI 48170-1250
Mailing Address340 N Main St Ste 200Plymouth, MI 48170-1250 · (734) 335-0028
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 23, 2024
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
NPI 1104654185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801121073
Definition

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.

340 N MAIN ST STE 200, Plymouth, MI 48170

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tamia Waller Llmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759860745
PECOS Enrollment IDI20260210001774
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48170 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
340 N MAIN ST STE 200
PLYMOUTH, MI 48170
Social Worker (Clinical)
340 N MAIN ST STE 200
PLYMOUTH, MI 48170
Social Worker (Clinical)
340 N MAIN ST STE 200
PLYMOUTH, MI 48170
Social Worker (Clinical)
340 N MAIN ST STE 200
PLYMOUTH, MI 48170
Psychologist
340 N MAIN ST STE 200
PLYMOUTH, MI 48170
Nurse Practitioner (Family)
340 N MAIN ST STE 200
PLYMOUTH, MI 48170
Psychologist (Clinical)
340 N MAIN ST STE 200
PLYMOUTH, MI 48170
Social Worker
340 N MAIN ST STE 200
PLYMOUTH, MI 48170

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104654185, enumerated as an "individual" on July 23, 2024.

The provider is located at 340 N MAIN ST STE 200 PLYMOUTH, MI 48170 and the phone number is (734) 335-0028.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.