Deborah A Tomczak, MS, LLP, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801065510 Issued in MI

Practice address

806 W Cedar St
Suite 4
Standish, MI 48658-9550

Phone

(989) 846-4991

Fax

(989) 846-4991

NPI assigned

May 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1209859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209859200000",
    "number": "1881860427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 W CEDAR ST STE 4",
            "address_2": "PO BOX 274",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589550",
            "telephone_number": "989-846-4991",
            "fax_number": "989-846-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 W CEDAR ST",
            "address_2": "SUITE 4",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589550",
            "telephone_number": "989-846-4991",
            "fax_number": "989-846-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMCZAK",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS, LLP, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-04",
        "last_updated": "2008-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301002798",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "492336000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sterling Area Health Center (Sterling Area Health Center Standish- Sterling Community School SBSS)
• Sterling Area Health Center
• Annie Dolores Stewart
• Ten 16 Recovery Network
• Valerie Ann Tinnin
• Tosha Tunney, OTRL
• Kaitlyn Jewel Tuttle
• Jillian Vansumeren
• Pamela Vanwormer
• Doraisamy Venkitapathy, M.D.

• Clinical Social Worker in Standish, MI
• Providers in Standish, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.