TAMARA JUNE ANTISHIN LMSW NPI 1720321458

NPI Information

  • NPI: 1720321458
  • Provider Name: TAMARA JUNE ANTISHIN, LMSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 888 W BIG BEAVER RD STE 780
    TROY, MI
    ZIP 48084
  • Phone: (248) 270-5660

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NPI Details

Tamara June Antishin, LMSW is a social worker in Troy, MI. The provider is 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. Tamara June Antishin, LMSW NPI is 1720321458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

888 W BIG BEAVER RD STE 780
TROY, MI
ZIP 48084-745
Phone: (248) 270-5660

The NPI 1720321458 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/1/2013 and was last updated on 12/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical6801094544MICHIGANNo
2104100000XSocial WorkerNo
3104100000XSocial Worker6801094544MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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