Anne Tyson, LMSW LLC – Clinical Social Worker, NPI 1144703182
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Anne Tyson, LMSW LLC
Filer Street, Manistee, Manistee County, Michigan, 49660, United States
MANISTEE, MI 496602787
Phone: (231) 655-3841
Type: Mailing
50, Filer Street, Manistee, Manistee County, Michigan, 49660, United States
MANISTEE, MI 496602726
Phone: (231) 655-3841
Type: Location
1154 Cadillac Dr
Muskegon, MI 494451917
Phone: (616) 843-0623
Fax: (616) 600-0259
Type: Location
1810 RUDDIMAN DR STE D
NORTH MUSKEGON, MI 494453172
Phone: (231) 655-3841
Fax: (231) 375-0197
Type: Mailing
1810 RUDDIMAN DR
NORTH MUSKEGON, MI 494453172
Phone: (231) 655-3841
Type: Location
1154 CADILLAC DR
MUSKEGON, MI 494451917
Phone: (616) 843-0623
Fax: (616) 600-0259
Type: Mailing
221 W WEBSTER AVE STE 514
MUSKEGON, MI 494401294
Phone: (616) 843-0623
Type: Location
1810 RUDDIMAN DR STE F
NORTH MUSKEGON, MI 494453172
Phone: (616) 843-0623
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2018-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (894 days ago).
Enrollment records
1
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20181204001353 | O | Clinic/Group Practice | MI | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 49660)
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