Tammy Marisa Patton, LCSW, ED.D

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4622 Issued in TN

Practice address

1636 E Main St
Humboldt, TN 38343-2904

Phone

(731) 784-7833

NPI assigned

Oct 24, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tammy.patton.1@21899.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/21899/brand/1/csg/1/fhir/r4

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.

• Rainbow Pediatric PC

  • Rural Health Clinic/Center
  • Humboldt, TN
  • NPI 1255474300

  Single Specialty

  NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1952028680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 E MAIN ST",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383432904",
            "telephone_number": "731-784-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 E MAIN ST",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383432904",
            "telephone_number": "731-784-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "TAMMY",
        "middle_name": "MARISA",
        "name_prefix": "Dr.",
        "credential": "LCSW, ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Orgain
• David Michael Orwig, O D
• Gary Wayne Osborne, LPC, MHSP
• Otter Therapy and Vocational Services (Otter with Barb)
• Antoinette Deshawn Parham
• Justin Perry
• Sandi Peterson, COTA/L
• Megan Latimer Phillips, PA-C
• Brent Pierce, PHARMD.
• Michael Blaine Potts

• Clinical Social Worker in Humboldt, TN
• Providers in Humboldt, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.