Active NPI
Stori Tavian
- Clinical Social Worker
- Saginaw, MI
National Provider Identifier
1033778501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3323 Shattuck Rd Ste 1
Saginaw, MI 48603-3184 - Phone
- (989) 475-4171
- NPI assigned
- Jun 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3323 Shattuck Rd Ste 1
Saginaw, MI 48603-3184
Mailing address
3323 Shattuck Rd Ste 1
Saginaw, MI 48603-3184
Phone (989) 475-4171
Other practice location 1
4600 Garfield Rd Ste 800
Auburn, MI 48611-9368
Phone (269) 389-0265
Other practice location 2
300 Saint Andrews Rd Ste 408
Saginaw, MI 48638
Phone (989) 295-9893
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Pathways, LLC | Past | Accepting new patients | |
| McDowell Healing Arts Center LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Ann Arbor, MI
- NPI 1770838468
-
- Clinical Social Worker
- Saginaw, MI
- NPI 1669839338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1033778501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3323 SHATTUCK RD STE 1",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486033184",
"telephone_number": "989-475-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3323 SHATTUCK RD STE 1",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486033184",
"telephone_number": "989-475-4171"
}
],
"practiceLocations": [
{
"address_1": "4600 Garfield Rd Ste 800",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "MI",
"postal_code": "486119368",
"country_code": "US",
"telephone_number": "269-389-0265",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Saint Andrews Rd Ste 408",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "48638",
"country_code": "US",
"telephone_number": "989-295-9893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAVIAN",
"first_name": "STORI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.