Tammy Lynn Bost, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106282 Issued in MI

Practice address

1585 Pleasant Wood NE
Rockford, MI 49341-7577

Phone

(810) 845-7543

NPI assigned

Mar 25, 2019

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 names 1

• Tammy Lynn Ruterbusch Former name

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

Interoperability endpoints

• Direct secure messaging: lifestacehealth.tammyruterbusch@150339.advancedmd-direct.com

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.

• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1295866135

  Clinical

  Medicare reassignment NPD
• Empowering Optimism Therapy

  • Social Worker
  • Rockford, MI
  • NPI 1326745019
  NPD Authorized official
• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1104930130

  Clinical

  NPD

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1083174932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 PLEASANT WOOD NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417577",
            "telephone_number": "810-845-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 PLEASANT WOOD NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417577",
            "telephone_number": "810-845-7543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Lake Lansing Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489123798",
            "country_code": "US",
            "telephone_number": "810-494-7180",
            "fax_number": "810-215-1334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOST",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801099721",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "RUTERBUSCH",
            "middle_name": "LYNN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeanne Bolle, M.S., L.L.P.
• Elise Olivia Bolthouse
• Jordan Bont, LPC
• Jennifer C Boodt, LMT
• Elian Boshnjaku
• Matthew Bottke, DO
• John Craig Bowman II, PHARMD
• Lindsey Janeen Brace, LMSW
• Bailey Brandt
• Andrea Bray

• Clinical Social Worker in Rockford, MI
• Providers in Rockford, 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 Jan 31, 2023; 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.