Tammie Prenger, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2103008 Issued in OH

Practice address

1101 N Vandemark Rd
Sidney, OH 45365-3567

Phone

(937) 710-4616

NPI assigned

Sep 27, 2021

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

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crystal L. Oswalt, PH.D., Counseling and Consulting Services Inc.Group PAC ID 2567722838, 4 clinicians

Practice addresses (Care Compare)

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.

• Crystal L. Oswalt, PH.D., Counseling & Consulting Services Inc.

  • Clinical Psychologist
  • Celina, OH
  • NPI 1518465822
  Medicare reassignment Care Compare group NPD
• Family Resource Center of Northwest Ohio Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lima, OH
  • NPI 1710930953
  Medicare reassignment NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1821769985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S MAIN ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041240",
            "telephone_number": "567-371-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N VANDEMARK RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453653567",
            "telephone_number": "937-710-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENGER",
        "first_name": "TAMMIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Nicole Poeppelman, PT
• Cassandra M Pohl, RN
• Shawntee Jane Poppe, INDEPENDENT PROVIDER
• Trikannad S Prashanthkumar, MD
• Eric John Prenger, MD
• Primary Eyecare Associates Inc
• Primecare Physicians of West Central Ohio, Inc
• Kari Lyn Purtee, LSW
• Mallory Puthoff, LMT
• PV SNF LLC

• Clinical Social Worker in Sidney, OH
• Providers in Sidney, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.