Individual provider Active NPI

Tammy Jayne Huotari, LMSW, CAAC

  • Clinical Social Worker
  • Sault Sainte Marie, MI
National Provider Identifier
1922154574
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801082964 Issued in MI
Practice address
400 Ashmun St
Sault Sainte Marie, MI 49783-1979
Phone
(906) 635-1390
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801082964 MI Primary

Addresses

Primary practice location

400 Ashmun St
Sault Sainte Marie, MI 49783-1979

Mailing address

24260 W. Grosvenors Dr.
Brimley, MI 49715
Phone (906) 437-5546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20140721000298 MI Practitioner - Clinical Social Worker 0244456614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PathwaysGroup PAC ID 4284626391, 28 clinicians

Practice addresses (Care Compare)

200 W Spring St
Marquette, MI 49855-4661
Phone (906) 225-7210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801082964MIMDClinical Social Worker

Organizations & group practices 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922154574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24260 W. GROSVENORS DR.",
            "city": "BRIMLEY",
            "state": "MI",
            "postal_code": "49715",
            "telephone_number": "906-437-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831979",
            "telephone_number": "906-635-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUOTARI",
        "first_name": "TAMMY",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "LMSW, CAAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

Verify at the official NPI Registry.