ALEXIS NICOLE TILLERY LLMSW
NPI 1215535117
Social Worker in Inkster, MI

Q: What is Alexis Tillery's NPI number?

The NPI number for Alexis Tillery is 1215535117. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Q: What is Alexis Tillery's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Tillery was last updated on August 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 13, 2020PECOS Enrolled

30000 HIVELEY ST, INKSTER, MI 48141(173) 472-8340 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2022, Oct 13, 2020 (2 updates tracked since 2020).

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About Alexis Nicole Tillery Llmsw NPPES

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

ALEXIS NICOLE TILLERY LLMSW (NPI 1215535117) is an individual social worker in Inkster, Michigan, licensed in Michigan (6851106976) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215535117

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameALEXIS NICOLE TILLERYCredential: LLMSW

Location Address30000 HIVELEY STInkster, MI 48141-1089

Mailing Address30451 Marimoor StBeverly Hills, MI 48025-5041 · (248) 804-1595

Phone(173) 472-8340

Sole ProprietorNo

Enumeration DateOctober 13, 2020

Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration

NPPES CertifiedAugust 4, 2022

✔ NPI 1215535117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6851106976

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801106976 (MI), 6851106976 (MI)

30000 HIVELEY ST, Inkster, MI 48141

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Nicole Tillery Llmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ANTHONY SCOTT THEEL

Social Worker (Clinical)