Provider Demographics
NPI:1619157096
Name:TOMPKINS, AMANDA MARIE (LMSW)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:MARIE
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:MARIE
Other - Last Name:FIGON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:800 N OLD WOODWARD AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-3802
Mailing Address - Country:US
Mailing Address - Phone:248-301-2504
Mailing Address - Fax:248-297-6077
Practice Address - Street 1:800 N OLD WOODWARD AVE STE 210
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-3802
Practice Address - Country:US
Practice Address - Phone:248-301-2504
Practice Address - Fax:248-297-6077
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI9814Medicare PIN