Paul Gustav Tamminen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS14130 Issued in CA

Practice address

435 Petaluma Ave
Suite 140
Sebastopol, CA 95472-4277

Phone

(707) 823-9950

NPI assigned

Sep 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

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.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982796371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7860 BROOKSIDE AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723245",
            "telephone_number": "707-823-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 PETALUMA AVE",
            "address_2": "SUITE 140",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724277",
            "telephone_number": "707-823-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMMINEN",
        "first_name": "PAUL",
        "middle_name": "GUSTAV",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synde Acks, Psy.D, Professional Inc.
• Aubrianna Rae Tait
• Valerie Helen Takes, RN ACNP
• Tamar-Mattis, D.O., a Professional Organization (Liminal Medicine)
• Suegee Tamar-Mattis, DO
• Tina Ying Hua Tan
• Paula Tanksley, PT
• Terri Joan Drew (Integrative Psychiatry Clinic)
• Terri Turner, D.O., a Professional Corporation
• Davora Tetens, MFT

• Clinical Social Worker in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.