Suzanne Tarver Vincent, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1803-121 Issued in WI

Practice address

2500 Overlook Ter
Madison, WI 53705-2254

Phone

(608) 280-7084

NPI assigned

May 29, 2008

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

Other identifiers 1

Other names 1

• Patricia Susan Tarver-Harris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1295993905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 HARRINGTON DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537183239",
            "telephone_number": "414-852-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 OVERLOOK TER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052254",
            "telephone_number": "608-280-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "SUZANNE",
        "middle_name": "TARVER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "1803-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10062926",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "TARVER-HARRIS",
            "middle_name": "SUSAN",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Villeneuve
• Shannon Corinne Vils, RN, BSN
• Mandee E Vimont, CD
• Vincent R Facchiano & Assoc SC
• Amy Louise Vincent, CADCII
• Megan Doris Vingers
• Patrick Finnan Vining, MD
• Lisa A Vinney, PHD, CCC-SLP
• Rachel Vinson
• Madilyn Yoneda Vinstra, MD

• Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.