MR. RICARDO DAVID TILLERY MBA, LMSW, ICAADC
NPI 1528380623
Social Worker - Clinical in Lansing, MI

Q: What is Ricardo Tillery's NPI number?

The NPI number for Ricardo Tillery is 1528380623. It was assigned to this individual provider in the NPPES registry on February 17, 2010.

Q: What is Ricardo Tillery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ricardo Tillery was last updated on September 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 17, 2010PECOS EnrolledAccepts Medicare Assignment

3721 W MICHIGAN AVE STE 200, LANSING, MI 48917(517) 515-6176 Get Directions Write a Review

NPPES record last updated: September 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2020, Feb 6, 2016 (2 updates tracked since 2016).

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About Mr. Ricardo David Tillery Mba, Lmsw, Icaadc NPPES

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

MR. RICARDO DAVID TILLERY MBA, LMSW, ICAADC (NPI 1528380623) is an individual clinical provider in Lansing, Michigan, licensed in Michigan (6801094835) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1528380623

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. RICARDO DAVID TILLERYCredential: MBA, LMSW, ICAADC

Location Address3721 W MICHIGAN AVE STE 200Lansing, MI 48917-3600

Mailing Address3721 W Michigan Ave Ste 200Lansing, MI 48917-3600 · (517) 515-6176

Phone(517) 515-6176

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 17, 2010

Last NPPES UpdateSeptember 13, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2020

✔ NPI 1528380623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801094835

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C-02622 (MI)

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedSocial WorkerTaxonomy 104100000X

3721 W MICHIGAN AVE STE 200, Lansing, MI 48917

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Other Identifiers 1

Medicaid1396128088MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mr. Ricardo David Tillery Mba, Lmsw, Icaadc 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 ID7214294974

PECOS Enrollment IDI20171205002052

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 48917 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 12

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

MRS. CANDACE LYNN TILLERY LMSW, CAADC, SAP

Social Worker (Clinical)