| Tamara A Ghosh Lcsw | |
|
2075 Harding Rd Blacksburg VA 24060-9129 | |
| (757) 604-7540 | |
| Not Available |
| Full Name | Tamara A Ghosh Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 2075 Harding Rd, Blacksburg, Virginia |
| Authorized Official Name and Position | Tamara A. Ghosh (DIRECTOR/MANAGER) |
| Authorized Official Contact | 7576047540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara A Ghosh Lcsw 2075 Harding Rd Blacksburg VA 24060-9129 Ph: (757) 604-7540 | Tamara A Ghosh Lcsw 2075 Harding Rd Blacksburg VA 24060-9129 Ph: (757) 604-7540 |
| NPI Number | 1104380831 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 04/29/2021 |
| Certification Date | 04/29/2021 |
| Medicare PECOS PAC ID | 6002157468 |
|---|---|
| Medicare Enrollment ID | O20190411001776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104380831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tamara Adelle Turpin-ghosh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871646760 PECOS PAC ID: 7810238276 Enrollment ID: I20190411001866 |
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