Tammi Y. Ishimatsu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

335924-3501 Issued in UT

Practice address

2832 W 4700 S
Suite B
Taylorsville, UT 84129-2155

Phone

(801) 550-5428

Fax

(801) 964-6003

NPI assigned

Jan 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tammara Y. Ishimatsu Other name

Medicare fee-for-service enrollment

Enrolled in UT

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 1

Medicare enrollment (NPD)

Enrolled

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.

• T Ishimatsu PLLC

  dba Meaningful Life Counseling

  • Clinical Social Worker
  • Taylorsville, UT
  • NPI 1427448851
  Medicare reassignment NPD

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1730150210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702184",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841702184",
            "telephone_number": "801-550-5428",
            "fax_number": "801-964-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 W 4700 S",
            "address_2": "SUITE B",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292155",
            "telephone_number": "801-550-5428",
            "fax_number": "801-964-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIMATSU",
        "first_name": "TAMMI",
        "middle_name": "Y.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "335924-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "33592435000001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMARA",
            "last_name": "ISHIMATSU",
            "middle_name": "Y.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.