Active NPI
Tawny Lee Smith-Savage, LCSW LADC
- Addiction (Substance Use Disorder) Counselor
- Cloquet, MN
National Provider Identifier
1700049889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 302226
- Practice address
- 927 Trettel Lane
Fond Du Lac Human Services Division
Cloquet, MN 55720 - Phone
- (218) 878-2185
- Fax
- (218) 878-2188
- NPI assigned
- Jul 8, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302226 | MN | Primary |
| Social Worker | 104100000X | 16747 | MN |
Addresses
Primary practice location
927 Trettel Lane
Fond Du Lac Human Services Division
Cloquet, MN 55720
Mailing address
927 Trettel Lane
Fond Du Lac Human Services Division
Cloquet, MN 55720
Phone (218) 878-2185
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 |
|---|---|---|---|
| 302226 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 16747 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1700049889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 TRETTEL LANE",
"address_2": "FOND DU LAC HUMAN SERVICES DIVISION",
"city": "CLOQUET",
"state": "MN",
"postal_code": "55720",
"telephone_number": "218-878-2185",
"fax_number": "218-878-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 TRETTEL LANE",
"address_2": "FOND DU LAC HUMAN SERVICES DIVISION",
"city": "CLOQUET",
"state": "MN",
"postal_code": "55720",
"telephone_number": "218-878-2185",
"fax_number": "218-878-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-SAVAGE",
"first_name": "TAWNY",
"middle_name": "LEE",
"credential": "LCSW LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "302226",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "16747",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.