Individual provider Active NPI

Andrew J. Tomacari, LMSC

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1023225547
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089288 Issued in MI
Practice address
3654 Woodcliff Dr
Kalamazoo, MI 49008-2513
Phone
(269) 760-6902
Fax
(815) 301-2651
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801089288 MI Primary

Addresses

Primary practice location

3654 Woodcliff Dr
Kalamazoo, MI 49008-2513

Mailing address

3654 Woodcliff Dr
Kalamazoo, MI 49008-2513
Phone (269) 760-6902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801089288MIMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1023225547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3654 WOODCLIFF DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082513",
            "telephone_number": "269-760-6902",
            "fax_number": "815-301-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 WOODCLIFF DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082513",
            "telephone_number": "269-760-6902",
            "fax_number": "815-301-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMACARI",
        "first_name": "ANDREW",
        "middle_name": "J.",
        "credential": "LMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.