Individual provider Active NPI

Tammy M Walker, LMSW

  • Clinical Social Worker
  • Muskegon, MI
National Provider Identifier
1467990671
Registry record updated Jun 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801113509 Issued in MI
Practice address
1665 Chatterson Rd
Muskegon, MI 49442-9401
Phone
(231) 740-6092
NPI assigned
Feb 8, 2017
Last updated
Jun 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 6801100090 MI
Clinical Social Worker 1041C0700X 6801113509 MI Primary

Addresses

Primary practice location

1665 Chatterson Rd
Muskegon, MI 49442-9401

Mailing address

1665 Chatterson Rd
Muskegon, MI 49442-9401
Phone (231) 740-6092

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
I20220805002174 MI Practitioner - Clinical Social Worker 3476934522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shores Wellness and Counseling PLLCGroup PAC ID 5395197354, 3 clinicians

Practice addresses (Care Compare)

794 Pine St
Suite 230 O
Muskegon, MI 49442-1020
Phone (231) 375-7873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801100090MIMDIntellectual & Developmental Disabilities Psychologist
6801113509MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shores Wellness and Counseling, PLLC Clinical CurrentSince Nov 1, 2025 Accepting new patients
Tammy M. Walker, LMSW, PLLC Clinical CurrentSince Jul 2, 2023 Accepting new patients
The Healing Village CurrentSince Apr 21, 2025 Accepting new patients

Locations

794 Pine St
Ste 230O
Muskegon, MI 49442
Phone (231) 375-7873

865 Oakridge Rd
Ste A
Muskegon, MI 49441
Phone (231) 335-3116

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685750400000",
    "number": "1467990671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 CHATTERSON RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494429401",
            "telephone_number": "231-740-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 CHATTERSON RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494429401",
            "telephone_number": "231-740-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TAMMY",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2023-06-03",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MI",
            "license": "6801100090",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801113509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.