Active NPIIndividual provider

Tamanique Byrd, LICSW

Social Worker, Clinical in Bloomfield, Connecticut

NPI Number1528581485
Practice location
5 Westview Dr. Apt E, Bloomfield, CT 06002-7004
Fax
—
Last updated
June 26, 2023

Tamanique Byrd is a Social Worker, Clinical based in Bloomfield, CT. Tamanique Byrd practices in Bloomfield, CT and has the professional credentials of LICSW. The NPI Number for Tamanique Byrd is 1528581485 and holds a License No. 3759 (CT). The current practice location address for Tamanique Byrd is 5 Westview Dr. Apt E, Bloomfield, CT 06002-7004 and can be reached out via phone at 860-368-8905.

Provider Profile Details

NPI Number
1528581485
Provider Name
Tamanique Byrd
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
5 Westview Dr. Apt E, Bloomfield, CT 06002-7004
Phone Number
860-368-8905
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 24, 2017
Last Update Date
June 26, 2023
Certification Date
June 26, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Westview Dr. Apt E
Bloomfield, CT 06002-7004
Zip
06002-7004
Phone Number
860-368-8905
Bloomfield, CT 06002Get directions →

Provider Business Mailing Address Details

Address
Po Box 3396
Enfield, CT 06083-3396
City
Enfield
State
CT
Zip
06083-3396
Phone Number
860-922-2362

License Information

License Number (1)
3759
License State (1)
CT
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
123352
License State (2)
MA
Taxonomy (2)
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 Tamanique Byrd, LICSW?

The NPI number of Tamanique Byrd, LICSW is 1528581485. It was assigned on July 24, 2017 and is currently active in the NPPES registry.

What is the specialty of Tamanique Byrd, LICSW?

Tamanique Byrd, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 3759.

Where does Tamanique Byrd, LICSW practice?

The practice location is 5 Westview Dr. Apt E, Bloomfield, CT 06002-7004. The office can be reached at 860-368-8905 (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 1528581485 directly on the NPPES registry website.

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