Individual provider Active NPI

Tammy Ewing

  • Clinical Social Worker
  • Frankenmuth, MI
National Provider Identifier
1104645233
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851118197 Issued in MI
Practice address
140 W Tuscola St Ste a
Frankenmuth, MI 48734-1548
Phone
(989) 480-3235
NPI assigned
Oct 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851118197 MI Primary

Addresses

Primary practice location

140 W Tuscola St Ste a
Frankenmuth, MI 48734-1548

Mailing address

12271 Burt Rd
Birch Run, MI 48415-9326
Phone (989) 284-1487

Other names 1

  • Tammy Maher Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250211000419 MI Practitioner - Clinical Social Worker 6800326570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851118197MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers CurrentSince Feb 17, 2025 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Feb 17, 2025 Accepting new patients

Locations

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

3023 Davenport Ave
Saginaw, MI 48602
Phone (989) 907-2761

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

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": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1104645233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12271 BURT RD",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484159326",
            "telephone_number": "989-284-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W TUSCOLA ST STE A",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341548",
            "telephone_number": "989-480-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "TAMMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851118197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "MAHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frankenmuth, MI

Sources for this page

Verify at the official NPI Registry.