Lisa D Tatrow

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801081130 Issued in MI

Practice address

300 Walnut St RM 155
Manistique, MI 49854-1495

Phone

(906) 341-2244

NPI assigned

Jul 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• Hiawatha Community Behavioral Health Authority

  dba Hiawatha Behavioral Health

  • Community/Behavioral Health Agency
  • Sault Sainte Marie, MI
  • NPI 1629161567
  Medicare reassignment NPD
• Schoolcraft Memorial Hospital

  • Critical Access Hospital
  • Manistique, MI
  • NPI 1700805157
  Medicare reassignment NPD

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1053624635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7870W US HIGHWAY 2",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498548992",
            "telephone_number": "906-341-2153",
            "fax_number": "906-341-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WALNUT ST RM 155",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541495",
            "telephone_number": "906-341-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATROW",
        "first_name": "LISA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ressie Stranaly, PMHNP-BC
• Alyssa Strasser, LLMSW
• Ann Elizabeth Stromgren, MA, LLC
• Jon Studinger
• Gail I Sulander, MS RD CDE
• Breanna Trail
• Samantha Troxler
• Sarah Bess Unger
• Robert J Urban, M.D.
• Georganne Roberta Verigan, PHD, L.AC

• Clinical Social Worker in Manistique, MI
• Providers in Manistique, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.