Provider Demographics
NPI:1689820045
Name:SATTELBERG, TAMMY ANN (LMSW)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:ANN
Last Name:SATTELBERG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:ANN
Other - Last Name:EWALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:1375 R DALE WERTZ DR
Mailing Address - Street 2:
Mailing Address - City:BAD AXE
Mailing Address - State:MI
Mailing Address - Zip Code:48413-1365
Mailing Address - Country:US
Mailing Address - Phone:989-269-9293
Mailing Address - Fax:
Practice Address - Street 1:500 HANCOCK ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4224
Practice Address - Country:US
Practice Address - Phone:989-797-3400
Practice Address - Fax:989-799-3918
Is Sole Proprietor?:No
Enumeration Date:2008-08-16
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801097171104100000X
MI6802082145104100000X
1041C0700X
MI68011067851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker