MR. MICHAEL LOVELL TUCKER (LMSW,LPC) – Clinical Social Worker, NPI 1114054780

MR. MICHAEL LOVELL TUCKER (LMSW,LPC) is a healthcare provider. based in Detroit, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW,LPC. They hold a License No. 6401002813 (MI). The NPI Number for MR. MICHAEL LOVELL TUCKER (LMSW,LPC) is 1114054780

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL LOVELL TUCKER (LMSW,LPC)
NPI
1114054780
Phone
(313) 720-6702
Address
8633 LAUDER ST
Enumeration Date
28 February 2007
Last Update Date
25 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
5395840003
Group Practice PAC ID
4183885593
Professional Enrollment ID
I20070424000654
Address ID
MI481865436We1547XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MR. MICHAEL LOVELL TUCKER (LMSW,LPC)

  • 8633 LAUDER ST

    DETROIT, MI 482282421

    Phone: (313) 720-6702

    Fax: (313) 846-1975

    Type: Mailing

  • 8411 E OUTER DR

    DETROIT, MI 482131390

    Phone: (313) 316-1456

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070424000654IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48228)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183885593View full group profile
NameSpecialtyState
-MI
Clinical Social WorkerMI
P S Y C H I A T R YMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Psychiatry, Addiction MedicineMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for MR. MICHAEL LOVELL TUCKER (LMSW,LPC)?
MR. MICHAEL LOVELL TUCKER (LMSW,LPC) — NPI 1114054780 — is the standard way to identify this listing.
Can I rely on MR. MICHAEL LOVELL TUCKER (LMSW,LPC) being an active provider?
As of the registry snapshot, MR. MICHAEL LOVELL TUCKER (LMSW,LPC) is marked active.
What is MR. MICHAEL LOVELL TUCKER (LMSW,LPC)'s primary classification?
Clinical Social Worker is the headline specialty for MR. MICHAEL LOVELL TUCKER (LMSW,LPC) here. Clinical services aligned with this taxonomy classification.
What area does MR. MICHAEL LOVELL TUCKER (LMSW,LPC) serve?
MR. MICHAEL LOVELL TUCKER (LMSW,LPC)'s listing highlights Detroit, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

Similar Providers

STANLEY J LADOWICZ (LCSW)

Clinical Social Worker
8400 LOUISIANNA ST
NPI: 1316948342

MRS. IBTISAM BABBIE (LMSW, CAADC)

Clinical Social Worker
4646 John R St
NPI: 1689676546
17146 FAIRFIELD ST
NPI: 1124010137

JOSEPH E CHAMBERLAIN (LCSW)

Clinical Social Worker
Frranciscan Dyer Hosptial, 24, Joliet Street, Dyer, Lake County, Indiana, 46311, United States
NPI: 1124013933

JOHN MICHAEL NELSON (LCSW)

Clinical Social Worker
PO BOX 781076
NPI: 1093701542
PO BOX 67000
NPI: 1326007147

JULIE CHAPPEL (LMSW)

Clinical Social Worker
24 FRANK LLOYD WRIGHT DRIVE
NPI: 1831156405

LIZBETH ANN BORENER (LMSW)

Clinical Social Worker
4925 PACKARD ST
NPI: 1760449243