Tammy Fetter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW76784 Issued in CA

Practice address

370 Summit Ave
Mill Valley, CA 94941-1001

Phone

(914) 393-1854

NPI assigned

Aug 3, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396260097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SUMMIT AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411001",
            "telephone_number": "914-393-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 SUMMIT AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411001",
            "telephone_number": "914-393-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTER",
        "first_name": "TAMMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW76784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Fantacone, DDS
• Alexander F. Farr, D.D.S.
• Cynthia Lynn Fenton, M.D.
• Alan Phillip Feren, M.D.
• Jennifer S Fernandez, PTA
• Carol W. Fetterman, PSYCHOLOGIST
• Megan Filippini, NC
• Shira Rachel Fischer, MS
• Rob Michael Fisher
• Rachel Fiske

• Clinical Social Worker in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.