Active NPIIndividual providerSole proprietor

Mrs. Tanaeya A Ervin, LMSW

Social Worker in Orange, Connecticut

NPI Number1083370639
Practice location
554 Boston Post RD, Orange, CT 06477-3341
Fax
—
Last updated
November 9, 2021

Tanaeya Ashlei Renae Ervin is a Social Worker based in Orange, CT. Tanaeya Ashlei Renae Ervin practices in Orange, CT and has the professional credentials of LMSW. The NPI Number for Tanaeya Ashlei Renae Ervin is 1083370639 and holds a License No. 5752 (CT). The current practice location address for Tanaeya Ashlei Renae Ervin is 554 Boston Post RD, Orange, CT 06477-3341 and can be reached out via phone at 203-489-2870.

Provider Profile Details

NPI Number
1083370639
Provider Name
Tanaeya Ashlei Renae Ervin
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
554 Boston Post RD, Orange, CT 06477-3341
Phone Number
203-489-2870
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
November 9, 2021
Last Update Date
November 9, 2021
Certification Date
October 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
554 Boston Post RD
Orange, CT 06477-3341
City
Orange
Zip
06477-3341
Phone Number
203-489-2870
Orange, CT 06477Get directions →

Provider Business Mailing Address Details

Address
554 Boston Post RD
Orange, CT 06477-3341
City
Orange
State
CT
Zip
06477-3341
Phone Number
203-489-2870

License Information

License Number
5752
License State
CT
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Tanaeya A Ervin, LMSW?

The NPI number of Mrs. Tanaeya A Ervin, LMSW is 1083370639. It was assigned on November 9, 2021 and is currently active in the NPPES registry.

What is the specialty of Mrs. Tanaeya A Ervin, LMSW?

Mrs. Tanaeya A Ervin, LMSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in CT under license number 5752.

Where does Mrs. Tanaeya A Ervin, LMSW practice?

The practice location is 554 Boston Post RD, Orange, CT 06477-3341. The office can be reached at 203-489-2870 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083370639 directly on the NPPES registry website.

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