Tammy Jean Kerchkof, MA, LBSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6802082422 Issued in MI

Practice address

21885 Dunham Rd
Clinton Township, MI 48036-1030

Phone

(586) 469-5950

Fax

(586) 469-7925

NPI assigned

Feb 22, 2007

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528193489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39440 VENETIAN DR",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480455716",
            "telephone_number": "586-468-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21885 DUNHAM RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361030",
            "telephone_number": "586-469-5950",
            "fax_number": "586-469-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERCHKOF",
        "first_name": "TAMMY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MA, LBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802082422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thaise Kennedy
• Madison Maxine Kenrick, DO
• Nadia Fatima Kent, NP
• Amy Louise Kenzie, LBSW
• Alan Joseph Ker, DDS
• Robert A Kercorian, LMSW
• Nicole Keskitalo, DPT
• Kevin P Giroux PLLC
• David E. Key, MSW., LMSW., CAC.
• Devan N Keys, MED, NCC, LPC

• Clinical Social Worker in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.