Active NPI
Tamara Wilson Starkey, MSW, LICSW
- Clinical Social Worker
- Minnetonka, MN
National Provider Identifier
1598839417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14188
- Practice address
- 17819 Hutchins Dr
Minnetonka, MN 55345-4106 - Phone
- (952) 470-1186
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14188 | MN | Primary |
Addresses
Primary practice location
17819 Hutchins Dr
Minnetonka, MN 55345-4106
Mailing address
5655 Christmas Lake PT
Excelsior, MN 55331-9102
Phone (952) 380-0169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364G5TW | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14188 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598839417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5655 CHRISTMAS LAKE PT",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "553319102",
"telephone_number": "952-380-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17819 HUTCHINS DR",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553454106",
"telephone_number": "952-470-1186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARKEY",
"first_name": "TAMARA",
"middle_name": "WILSON",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "14188",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "364G5TW",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- 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.