| 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 |
|---|---|
| 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 |
|---|---|
| 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 | |
Rachel Winward, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-313-7770 | |
Bryan Teuscher, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5677 S Redwood Rd Unit 18, Taylorsville, UT 84123 Phone: 385-526-5996 | |
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 | |
Tanya Yuritzi Alvarado, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5204 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-210-1686 | |
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 |