Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Ky'Ronda Dominae Tate, LLMSW

Individual provider Clinical Social Worker · NPI 1184137911

MS. Ky'Ronda Dominae Tate, LLMSW is a Clinical Social Worker in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

10 Peterboro St
Detroit, MI 48201-2722
Phone: (313) 831-3160
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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 6801101430 (MI)

Record details

NPI number1184137911
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedNovember 15, 2017
Last updated in NPPESNovember 26, 2017

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