Individual provider Active NPI

Paul Rene Tamburro, PHD, MSW, LCSW

  • Clinical Social Worker
  • Hobart, IN
National Provider Identifier
1184988826
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004551A Issued in IN
Practice address
612 Water St
Hobart, IN 46342-5140
Phone
(219) 940-3107
Fax
(219) 940-3107
NPI assigned
Jun 27, 2012
Last updated
Jun 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34004551A IN Primary

Addresses

Primary practice location

612 Water St
Hobart, IN 46342-5140

Mailing address

612 Water St
Hobart, IN 46342-5140
Phone (219) 940-3107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1184988826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 WATER ST",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463425140",
            "telephone_number": "219-940-3107",
            "fax_number": "219-940-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 WATER ST",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463425140",
            "telephone_number": "219-940-3107",
            "fax_number": "219-940-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBURRO",
        "first_name": "PAUL",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "PHD, MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004551A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.