Tammy Mae Ennis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2648 Issued in CT

Practice address

American School for the Deaf
139 North Main Street
West Hartford, CT 06107

Phone

(860) 956-3896

NPI assigned

Oct 13, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• American School for the Deaf

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • West Hartford, CT
  • NPI 1346210135
  NPD
• Early Childhood Service - American School for the Deaf

  • Early Intervention Provider Agency
  • West Hartford, CT
  • NPI 1841337284
  NPD

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1609538024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MAIN ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622168",
            "telephone_number": "860-378-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AMERICAN SCHOOL FOR THE DEAF",
            "address_2": "139 NORTH MAIN STREET",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06107",
            "telephone_number": "860-956-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "TAMMY",
        "middle_name": "MAE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CT",
            "license": "8575534140",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "2648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tammy.ennis@asd-1817.org",
            "affiliation": "N",
            "endpointDescription": "asd email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "American School for the Deaf",
            "address_2": "139 North Main Street",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maura Emerick
• Empathy Eldercare Solutions Corp
• Empowered Nutrition and Fitness LLC
• Enavi LLC
• Encompass Counseling LLC
• Boris Enowitch
• Enrgm LLC
• Epstein & Rapoport P.C.
• Epstein & Rapoport, PC
• David W Epstein, D.D.S., M.S.D.

• Clinical Social Worker in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.