Organization Active NPI

Tamara L. Kaiser LLC

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1083944367
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
01158 Issued in MN
Legal business name
TAMARA L. KAISER LLC
Practice address
2301 Como Ave Ste 204
Saint Paul, MN 55108-1742
Phone
(612) 825-8053
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tamara Lynn Kaiser, MSW, PHD LICSW, LMFT
Title
Clinical Social Worker
Phone
(612) 825-8053

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 01158 MN Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 216 MN

Addresses

Primary practice location

2301 Como Ave Ste 204
Saint Paul, MN 55108-1742

Mailing address

2301 Como Ave Ste 204
Saint Paul, MN 55108-1742
Phone (612) 825-8053

Other identifiers 2

IdentifierTypeStateIssuer
4G751KAOtherMNBLUE CROSS
62-28270OtherMNUBH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1083944367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 COMO AVE STE 204",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081742",
            "telephone_number": "612-825-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 COMO AVE STE 204",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081742",
            "telephone_number": "612-825-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA L. KAISER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "612-825-8053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSW, PHD LICSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "01158",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4G751KA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "62-28270",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.