NPIMap

Organization Active NPI

Tamara Vertefeuille, LLC

  • Clinical Social Worker
  • Mansfield Center, CT
National Provider Identifier
1093092215
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007365 Issued in CT
Legal business name
TAMARA VERTEFEUILLE, LLC
Practice address
207 Storrs Rd
Mansfield Center, CT 06250-1638
Phone
(860) 456-4604
Fax
(860) 450-1310
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Tamara Jane Vertefeuille, L.C.S.W.
Title
President
Phone
(203) 606-8016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 007365 CT Primary

Addresses

Primary practice location

207 Storrs Rd
Mansfield Center, CT 06250-1638

Mailing address

PO Box 439
Mansfield Center, CT 06250-0439
Phone (860) 456-4604

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1093092215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062500439",
            "telephone_number": "860-456-4604",
            "fax_number": "860-450-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 STORRS RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501638",
            "telephone_number": "860-456-4604",
            "fax_number": "860-450-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA VERTEFEUILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "VERTEFEUILLE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-606-8016",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield Center, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.