Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tamia Waller, LLMSW

Individual provider Clinical Social Worker · NPI 1104654185

Tamia Waller, LLMSW is a Clinical Social Worker in Plymouth, Michigan. Qualified in 2023, 3 years ago. Practices with Simply Mindful Counseling LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

340 N Main St Ste 200
Plymouth, MI 48170-1250
Phone: (734) 335-0028
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801121073 (MI)

Record details

NPI number1104654185
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedJuly 23, 2024
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Simply Mindful Counseling Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Simply Mindful Counseling LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Plymouth