Tamia Waller, LLMSW
NPI 1104654185ActiveIndividual· Social Worker, Clinical· Plymouth, MI
Social Worker, Clinical (LLMSW) with Simply Mindful Counseling LLC, practicing in Plymouth, Michigan. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1104654185 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LLMSW |
| Sole proprietor | No |
| NPI issued | Jul 23, 2024 |
| Last updated in NPPES | Jan 26, 2026 |
| Certified by provider | Jan 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6801121073 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MI) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Simply Mindful Counseling LLCPlymouth, MI · 12 clinicians
Other clinical social workers in Plymouth
- 1033215058
- 1033771837
- 1073164349
- 1104360106
- 1114759222
- 1184428385
- 1215058300
- 1215818059
- 1225858632
- 1255069803
- 1275373763
- 1275456709
All 221 clinical social workers in Plymouth · All clinical social workers in Michigan