TAMARA JUNE ANTISHIN LMSW
NPI 1720321458
Social Worker in Troy, MI

Q: What is Tamara Antishin's NPI number?

The NPI number for Tamara Antishin is 1720321458. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Q: What is Tamara Antishin'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 Tamara Antishin was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 01, 2013PECOS Enrolled

888 W BIG BEAVER RD STE 780, TROY, MI 48084(248) 270-5660 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 14, 2022, Dec 5, 2022, Aug 8, 2022 and 5 more (8 updates tracked since 2016).

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About Tamara June Antishin Lmsw NPPES

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

TAMARA JUNE ANTISHIN LMSW (NPI 1720321458) is an individual social worker in Troy, Michigan, licensed in Michigan (6801094544) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720321458

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameTAMARA JUNE ANTISHINCredential: LMSW

Location Address888 W BIG BEAVER RD STE 780Troy, MI 48084-4745

Mailing Address888 W Big Beaver Rd Ste 780Troy, MI 48084-4745 · (248) 270-5660

Phone(248) 270-5660

Sole ProprietorNo

Enumeration DateApril 1, 2013

Last NPPES UpdateDecember 14, 20228 updates tracked since enumeration

NPPES CertifiedDecember 14, 2022

✔ NPI 1720321458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801094544

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.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801094544 (MI)

888 W BIG BEAVER RD STE 780, Troy, MI 48084

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamara June Antishin Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

MRS. ERIKA LOPEZ LCSW

Social Worker (Clinical)