Tamra Suzanne Pell, M.S.S.A., LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090620 Issued in MI

Practice address

3300 36TH St SE
Grand Rapids, MI 49512

Phone

(616) 942-7294

Fax

(617) 942-9548

NPI assigned

Dec 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1548405384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 36TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122810",
            "telephone_number": "616-942-7294",
            "fax_number": "617-942-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 36TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49512",
            "telephone_number": "616-942-7294",
            "fax_number": "617-942-9548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 36th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "49512",
            "country_code": "US",
            "telephone_number": "616-940-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 36th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "49512",
            "country_code": "US",
            "telephone_number": "616-942-7294",
            "fax_number": "617-942-9548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELL",
        "first_name": "TAMRA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S.S.A., LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Michael Pelak, PTA
• April Pelfrey
• Leslie McAndrews Pelkey, M.D.
• Kimberly Joy Pell
• Mary R Pell, D.O.
• Dominic Pelle
• Cynthia Pellegrini
• John S Pellett, MS,LLP
• Evan Helene Pellow-Robbins, LMSW
• Allison Ann Pelton, M.A.

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 31, 2019; 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.