| Tamara Crown, Lcsw, Acsw, Pllc | |
|
517 Talons Reach Run Berthoud CO 80513-8701 | |
| (405) 630-0189 | |
| Not Available |
| Full Name | Tamara Crown, Lcsw, Acsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 517 Talons Reach Run, Berthoud, Colorado |
| Authorized Official Name and Position | Tamara Dawn Crown (OWNER/THERAPIST) |
| Authorized Official Contact | 4056300189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Crown, Lcsw, Acsw, Pllc 517 Talons Reach Run Berthoud CO 80513-8701 Ph: (405) 630-0189 | Tamara Crown, Lcsw, Acsw, Pllc 517 Talons Reach Run Berthoud CO 80513-8701 Ph: (405) 630-0189 |
| NPI Number | 1427865484 |
|---|---|
| Provider Enumeration Date | 12/13/2024 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Medicare PECOS PAC ID | 1254867187 |
|---|---|
| Medicare Enrollment ID | O20241216000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427865484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tamara Dawn Crown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588632749 PECOS PAC ID: 7810158813 Enrollment ID: I20241216002300 |
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