Active NPI
Tamara Farris
- Clinical Social Worker
- Kotzebue, AK
National Provider Identifier
1619622206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P020224
- Practice address
- 733 2ND Ave
Kotzebue, AK 99752-0256 - Phone
- (907) 442-7640
- NPI assigned
- Feb 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P020224 | NC | Primary |
Addresses
Primary practice location
733 2ND Ave
Kotzebue, AK 99752-0256
Mailing address
108F N Reading Rd # 18671721
Ephrata, PA 17522-1668
Phone (717) 219-5711
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW138658 | PA | MD | Social Worker |
| P020224 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1619622206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108F N READING RD # 18671721",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175221668",
"telephone_number": "717-219-5711",
"fax_number": "717-219-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 2ND AVE",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997520256",
"telephone_number": "907-442-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRIS",
"first_name": "TAMARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-13",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P020224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kotzebue, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.