MELISSA TINERVIA LLMSW NPI 1679944482

NPI Information

  • NPI: 1679944482
  • Provider Name: MELISSA TINERVIA, LLMSW
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 300 W LOUIS GLICK HWY
    JACKSON, MI
    ZIP 49201
  • Phone: (517) 782-9905

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NPI Details

Melissa Tinervia, LLMSW is an addiction (substance use disorder) counselor in Jackson, MI. Melissa Tinervia, LLMSW NPI is 1679944482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 W LOUIS GLICK HWY
JACKSON, MI
ZIP 49201-228
Phone: (517) 782-9905
Fax: (517) 796-7022

The enumeration date for this NPI number is 10/20/2015 and was last updated on 10/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health6801098502MICHIGANNo
21041C0700XSocial WorkerClinical6801098502MICHIGANNo
3101YA0400XCounselorAddiction (Substance Use Disorder)6801098502MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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