Active NPIIndividual providerSole proprietor

Tamara S Evanson, LICSW

Social Worker, Clinical in Brattleboro, Vermont

NPI Number1164860532
Practice location
1037 Western Ave, 2ND Floor Suite #3, Brattleboro, VT 05301-7133
Fax
802-254-0088
Last updated
July 14, 2015

Tamara S Evanson is a Social Worker, Clinical based in Brattleboro, VT. Tamara S Evanson practices in Brattleboro, VT and has the professional credentials of LICSW. The NPI Number for Tamara S Evanson is 1164860532 and holds a License No. 0890076158 (VT). The current practice location address for Tamara S Evanson is 1037 Western Ave, 2ND Floor Suite #3, Brattleboro, VT 05301-7133 and can be reached out via phone at 802-254-0088 and via fax at 802-254-0088.

Provider Profile Details

NPI Number
1164860532
Provider Name
Tamara S Evanson
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1037 Western Ave, 2ND Floor Suite #3, Brattleboro, VT 05301-7133
Phone Number
802-254-0088
Fax Number
802-254-0088
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
-- Tamara Jean Severance (Former Name)
Provider Enumeration Date
June 7, 2013
Last Update Date
July 14, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1037 Western Ave
2ND Floor Suite #3
Brattleboro, VT 05301-7133
State
Vermont
Zip
05301-7133
Phone Number
802-254-0088
Fax Number
802-254-0088
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
1037 Western Ave
2ND Floor Suite #3
Brattleboro, VT 05301-7133
City
Brattleboro
State
VT
Zip
05301-7133
Phone Number
802-254-0088
Fax Number
802-254-0088

License Information

License Number
0890076158
License State
VT
Taxonomy
Social Worker, Clinical · 1041C0700X · 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 Tamara S Evanson, LICSW?

The NPI number of Tamara S Evanson, LICSW is 1164860532. It was assigned on June 7, 2013 and is currently active in the NPPES registry.

What is the specialty of Tamara S Evanson, LICSW?

Tamara S Evanson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 0890076158.

Where does Tamara S Evanson, LICSW practice?

The practice location is 1037 Western Ave, 2ND Floor Suite #3, Brattleboro, VT 05301-7133. The office can be reached at 802-254-0088 (phone) or 802-254-0088 (fax).

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 1164860532 directly on the NPPES registry website.

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