Individual provider Active NPI

Tammara Sand, LMSW

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1649677261
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095625 Issued in MI
Practice address
1225 E Big Beaver Rd
Troy, MI 48083-1905
Phone
(248) 524-8801
NPI assigned
Nov 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801095625 MI Primary

Addresses

Primary practice location

1225 E Big Beaver Rd
Troy, MI 48083-1905

Mailing address

1225 E Big Beaver Rd
Troy, MI 48083-1905
Phone (248) 524-8801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170519000591 MI Practitioner - Clinical Social Worker 2860769031 Reassigns benefits to 1 organization
I20241211004772 FL Practitioner - Clinical Social Worker 2860769031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801095625MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Training & Treatment Innovations Inc CurrentSince May 1, 2017 Accepting new patients
Training and Treatment Innovations Inc CurrentSince May 1, 2017 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Dec 8, 2024 Accepting new patients

Locations

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

929 Stevens St
Flint, MI 48502
Phone (810) 232-6081

1450 S Lapeer Rd
Oxford, MI 48371
Phone (248) 969-9932

3665 Bay Rd
Saginaw, MI 48603
Phone (989) 799-0066

13213 E 14 Mile Rd
Sterling Heights, MI 48312
Phone (586) 939-4374

1225 E Big Beaver Rd
Troy, MI 48083
Phone (248) 524-8801

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1649677261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831905",
            "telephone_number": "248-524-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831905",
            "telephone_number": "248-524-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAND",
        "first_name": "TAMMARA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.