Tamara Elizabeth Blum, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2010010928 Issued in MO

Practice address

7751 Carondelet Ave Ste 203
Clayton, MO 63105-3340

Phone

(314) 718-6448

NPI assigned

Sep 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

Other names 1

• Tamara Yanuck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 8, 2012 through Nov 8, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1194033167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 CARONDELET AVE STE 203",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053340",
            "telephone_number": "314-718-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 CARONDELET AVE STE 203",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053340",
            "telephone_number": "314-718-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "TAMARA",
        "middle_name": "ELIZABETH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2010010928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "YANUCK",
            "credential": "TAMARA YANUCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Allen Bernstein, D.D.S.
• Better Home Care of Missouri LLC
• Kristen Bexten, NBC-HWC
• Susan Burke Bishop, ANP
• Blue Hair Health Care
• James Charles Bobrow, M.D.
• Ethan Borchers
• Jerriana Shernea Bostic
• Bradley Homecare for Veterans, LLC
• Bradley in Home Service, LLC

• Social Worker in Clayton, MO
• Providers in Clayton, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.