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Tamara June Antishin, LMSW

NPI 1720321458ActiveIndividual· Social Worker· Troy, MI

Social Worker (LMSW) in Troy, Michigan, licensed in MI, with an NPI issued in April 2013. Enrolled in Medicare as practitioner - clinical social worker.

Overview

NPI1720321458
StatusActive
Entity typeIndividual
CredentialLMSW
Sole proprietorNo
NPI issuedApr 1, 2013
Last updated in NPPESDec 14, 2022
Certified by providerDec 14, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker Primary104100000X6801094544MI
Social Worker, Clinical1041C0700X6801094544MI
Social Worker104100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (MI)

Medicare sources and data years

Other Social Worker providers in Troy

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