TESSA ROSE J SIMON LMSW - NPI 1619566916 - Social Worker in Okemos, MI

Q: What is Tessa Simon's NPI number?

The NPI number for Tessa Simon is 1619566916. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Q: What is Tessa Simon'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 Tessa Simon was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

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About Tessa Rose J Simon Lmsw NPPES

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

TESSA ROSE J SIMON LMSW (NPI 1619566916) is an individual social worker in Okemos, Michigan, licensed in Michigan (6801108791) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619566916

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameTESSA ROSE J SIMONCredential: LMSW

Location Address3970 HERITAGE AVEOkemos, MI 48864-3344

Mailing Address3970 Heritage AveOkemos, MI 48864-3344 · (517) 507-5892 · Fax (517) 258-2951

Phone(517) 507-5892

Fax(517) 258-2951

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 12, 2021

Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1619566916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801108791

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.

3970 HERITAGE AVE, Okemos, MI 48864

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Secondary Practice Location 1

Location 12460 Burton St SE Ste 301Grand Rapids, MI 49546-4800 · Phone (517) 507-5892 · Fax (517) 258-2951

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company 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

Tessa Rose J Simon Lmsw 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 ID5395220255

PECOS Enrollment IDI20260327003999

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 12

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

NANCY RENEE GUSSIN

Social Worker (Clinical)