TAMMY SUE WALL LMSW
NPI 1154903870
Social Worker in Coeur D Alene, ID

Q: What is Tammy Wall's NPI number?

The NPI number for Tammy Wall is 1154903870. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Q: What is Tammy Wall's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Tammy Wall was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 22, 2021PECOS EnrolledAccepts Medicare Assignment

2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814(208) 625-5311(208) 625-4184 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2021, Apr 22, 2021 (2 updates tracked since 2021).

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About Tammy Sue Wall Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMMY SUE WALL LMSW (NPI 1154903870) is an individual social worker in Coeur D Alene, Idaho, licensed in Idaho (LMSW34849) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1154903870

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameTAMMY SUE WALLCredential: LMSW

Location Address2003 KOOTENAI HEALTH WAYCoeur D Alene, ID 83814-6051

Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-5311 · Fax (208) 625-4184

Phone(208) 625-5311

Fax(208) 625-4184

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 22, 2021

Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration

NPPES CertifiedJuly 25, 2025

✔ NPI 1154903870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in ID · LMSW34849

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tammy Sue Wall Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507275179

PECOS Enrollment IDI20210511003075

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA CRABTREE M.D.

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