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

Tanner Blaney, LLMSW

Individual provider Clinical Social Worker · NPI 1457045353

Tanner Blaney, LLMSW is a Clinical Social Worker in Detroit, Michigan. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

10201 E Jefferson Ave
Detroit, MI 48214-3149
Phone: (888) 813-8326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 23995 Novi Rd Ste C101, Novi, MI 48375-5439 — (517) 367-0670

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6851116606 (MI)

Record details

NPI number1457045353
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 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)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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