Tamara Rose Kujawa Shiflett, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801092806 Issued in MI

Practice address

214 S Bridge St Ste C
Grand Ledge, MI 48837-1587

Phone

(517) 231-7394

NPI assigned

Oct 19, 2016

Last updated

Nov 7, 2024By 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 2

Addresses

Other identifiers 1

Other names 1

• Tammy Kujawa Shiflett Other 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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Grand Ledge Counseling Center PC

  • Psychologist
  • Williamsburg, MI
  • NPI 1083714760

  Social Worker

  Medicare reassignment NPD
• The Ledges Counseling LLC

  • Social Worker
  • Grand Ledge, MI
  • NPI 1972096543
  Medicare reassignment NPD

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1467903963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S BRIDGE ST STE C",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371587",
            "telephone_number": "517-231-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S BRIDGE ST STE C",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371587",
            "telephone_number": "517-231-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFLETT",
        "first_name": "TAMARA",
        "middle_name": "ROSE KUJAWA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801092806",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092806",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972096543",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "SHIFLETT",
            "middle_name": "KUJAWA",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Scott T Stevenson DDS PLLC
• Aleesha Leeann Scott
• Brooke Selleck
• Julianna R Shaltry, MA, LPC, CAADC, NCC
• Shawn David Shaltry, LPC
• Karson James Shirey
• Philip R Shriner, DDS
• Jennifer Sidel
• Christine Ann-Avery Simon, RN
• Polly A Simon, LMT

• Social Worker in Grand Ledge, MI
• Providers in Grand Ledge, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.