Provider Demographics
NPI:1619157096
Name:TOMPKINS, AMANDA MARIE (LMSW)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:MARIE
Last Name:TOMPKINS
Suffix:
Gender:
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 1:255 E BROWN ST STE 230
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6233
Mailing Address - Country:US
Mailing Address - Phone:248-301-2504
Mailing Address - Fax:248-297-6077
Practice Address - Street 1:255 E BROWN ST STE 230
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6233
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:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI9814Medicare PIN