Tammi Y Ishimatsu, LCSW | |
2832 W 4700 S, Suite B, Taylorsville, UT 84129-2155 | |
(801) 550-5428 | |
(801) 964-6003 |
Full Name | Tammi Y Ishimatsu |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2832 W 4700 S, Taylorsville, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730150210 | NPI | - | NPPES |
33592435000001 | Other | UT | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 335924-3501 (Utah) | Primary |
Entity Name | T Ishimatsu Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427448851 PECOS PAC ID: 3870915655 Enrollment ID: O20200624001752 |
Mailing Address | Practice Location Address |
---|---|
Tammi Y Ishimatsu, LCSW Po Box 702184, Salt Lake City, UT 84170-2184 Ph: (801) 550-5428 | Tammi Y Ishimatsu, LCSW 2832 W 4700 S, Suite B, Taylorsville, UT 84129-2155 Ph: (801) 550-5428 |
Sigrid Ruth Nolte, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5667 S Redwood Rd Unit 6, Taylorsville, UT 84123 Phone: 385-425-3196 | |
April Mccloskey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5667 S Redwood Rd Ste 6, Taylorsville, UT 84123 Phone: 385-425-3196 | |
Bryan Teuscher, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5663 S Redwood Rd, Suite 2, Office 10, Taylorsville, UT 84123 Phone: 208-604-4355 | |
Deborah A Price, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-255-5131 | |
Nancy N Cannon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-265-3000 | |
Alexander Maxwell Dahmen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1760 West 4805 South, Taylorsville, UT 84129 Phone: 801-955-9110 | |
Claire R Stoecker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-265-3000 |