Individual provider Active NPI

Stori Tavian

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1033778501
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
ABA Pathways, LLC PastSince Dec 1, 2019 Accepting new patients
McDowell Healing Arts Center LLC Clinical PastSince Apr 25, 2021 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.

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.

Verify at the official NPI Registry.