Tarvid Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7099-123 Issued in WI

Legal business name

TARVID COUNSELING LLC

Practice address

740 Pilgrim Pkwy
Suite 103
Elm Grove, WI 53122-2066

Phone

(414) 491-0377

NPI assigned

Oct 17, 2014

Last updated

Oct 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sally S Tarvid, LCSWNPI 1962500769

Title

Registered Agent/MBR

Phone

(414) 491-0377

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sally Sue Tarvid, LCSW

  • Clinical Social Worker
  • Elm Grove, WI
  • NPI 1962500769
  Authorized official Same address or phone

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1386048551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7670 W HONEY CREEK PKWY",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532192738",
            "telephone_number": "414-491-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PILGRIM PKWY",
            "address_2": "SUITE 103",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222066",
            "telephone_number": "414-491-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARVID COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "TARVID",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REGISTERED AGENT/MBR",
        "authorized_official_telephone_number": "414-491-0377",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7099-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40967200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sally Sue Tarvid, LCSW
• Tetzlaff & Myhre Psychotherapy and Assessments, LLC
• Brandie Leigh Tetzlaff, M.S.S.W, L.C.S.W
• The Centered Self LLC
• Madelyn Thomas, M.S., CCC-SLP

• Clinical Social Worker in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.