Tamarin L Anglin, LSCSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34000847A Issued in IN

Practice address

4109 W Jefferson Blvd
Ste a
Fort Wayne, IN 46804-6894

Phone

(260) 486-5251

Fax

(260) 486-5058

NPI assigned

Sep 13, 2005

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2021 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Consulting & Counseling Associates, LLC

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1962432971
  NPD

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1033104302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 W JEFFERSON BLVD",
            "address_2": "STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046894",
            "telephone_number": "260-486-5251",
            "fax_number": "260-486-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 W JEFFERSON BLVD",
            "address_2": "STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046894",
            "telephone_number": "260-486-5251",
            "fax_number": "260-486-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLIN",
        "first_name": "TAMARIN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LSCSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "34000847A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000847A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007289125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3516695480008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000143174",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "0007289125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "071833",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "170924000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Corps
• Stephanie K. Angel
• Angels Helping Angels
• Victoria Angle
• Emily Nicole Anglin, MSAT, LAT, ATC
• Terence Anguh, M.D.
• Delaney Ankenbruck
• Christal Ankney, MSN, RN
• Kwame-Afoh Ankomah
• Ann E Spink D.C. Chiropractic Center, P.C. (Center For Health & Natural Healing)

• Clinical Social Worker in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.