TANYA DOUGLAS
NPI 1285183053
Social Worker - Clinical in Stanton, MI

Active since September 22, 2016PECOS EnrolledAccepts Medicare Assignment
611 N STATE ST, STANTON, MI 48888(989) 831-7520(989) 831-7578 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tanya Douglas NPPES

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

TANYA DOUGLAS (NPI 1285183053) is an individual clinical provider in Stanton, Michigan and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1285183053
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTANYA DOUGLAS
Location Address611 N STATE STStanton, MI 48888-9702
Mailing Address611 N State StStanton, MI 48888-9702 · (989) 831-7520 · Fax (989) 831-7578
Fax(989) 831-7578
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 22, 2016
NPI 1285183053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

611 N STATE ST, Stanton, MI 48888

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tanya Douglas is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608116678
PECOS Enrollment IDI20190329001166
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 48888 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Registered Nurse
611 N STATE ST
STANTON, MI 48888
Social Worker
611 N STATE ST
STANTON, MI 48888
Social Worker (Clinical)
611 N STATE ST
STANTON, MI 48888
Social Worker
611 N STATE ST
STANTON, MI 48888
Social Worker
611 N STATE ST
STANTON, MI 48888
Registered Nurse (Community Health)
611 N STATE ST
STANTON, MI 48888
Case Manager/Care Coordinator
611 N STATE ST
STANTON, MI 48888
Case Manager/Care Coordinator
611 N STATE ST
STANTON, MI 48888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanya Douglas's NPI number?

The NPI number for Tanya Douglas is 1285183053. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Tanya Douglas located?

Tanya Douglas practices at 611 N State St, Stanton, MI 48888. The listed phone number is (989) 831-7520.

What is Tanya Douglas's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tanya Douglas enrolled in Medicare?

Yes. Tanya Douglas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tanya Douglas accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Tanya Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanya Douglas was last updated on September 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.