Tabatha Dawn Remillard

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

63 1/2 Maple St
Charleston, SC 29403-3445

Phone

(603) 548-1239

NPI assigned

Dec 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1194533695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 PAGE ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721124",
            "telephone_number": "781-436-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 1/2 MAPLE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294033445",
            "telephone_number": "603-548-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMILLARD",
        "first_name": "TABATHA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Alan Reitman, MD
• Jennifer Marie Reitman, AGACNP-BC
• Ashley Nicole Reluzco, MD
• Remedy Internal Medicine and Wellness Center P a
• Ashley Remensnyder
• Marcelaine Gabriele Reneau, PHD
• Lora Renedo, NNP
• Vijay Renga, M.D.
• Derek Martin Renko, LMSW
• Katherine Renne, DMD

• Clinical Social Worker in Charleston, SC
• Providers in Charleston, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.