Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Teresa Ann Boles, LMSW, PHD

Individual provider Mental Health Counselor · NPI 1861619603

Dr. Teresa Ann Boles, LMSW, PHD is a Clinical Social Worker in Detroit, Michigan. Qualified in 1998, 28 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
28
Licensed in
MI
In the registry since
2007
Specialties on file
3
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (248) 214-7248
Fax: (313) 916-1622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801069263 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6801069263 (MI)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1861619603
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW , PHD
Sole proprietorNo
NPI enumeratedApril 20, 2007
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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