Individual provider Active NPI

Tamara Vazquez

  • Clinical Social Worker
  • Pikeville, NC
National Provider Identifier
1629936802
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P023358 Issued in NC
Practice address
105 Seward PL
Pikeville, NC 27863-9664
Phone
(682) 582-7031
NPI assigned
Jan 14, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X P023358 NC Primary

Addresses

Primary practice location

105 Seward PL
Pikeville, NC 27863-9664

Mailing address

105 Seward PL
Pikeville, NC 27863-9664
Phone (682) 582-7031

Other practice location 1

5102 Oak Park Rd
Raleigh, NC 27612-3027
Phone (910) 659-3335

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://clientsecure.me/widget-redirect?scopeId=0f2fe109-bd0d-40b3-9a10-730ce96594f3&applicationId=7c72cb9f9a9b913654bb89d6c7b4e71a77911b30192051da35384b4d0c6d505b&channel=client_portal&appearance=%7B%22fullScreen%22%3Atrue%7D&clinicianId=1954782 Other Healing Waves Therapy & Counseling PLLC

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

LicenseStateTypeSpecialty
P023358NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1629936802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SEWARD PL",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278639664",
            "telephone_number": "682-582-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SEWARD PL",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278639664",
            "telephone_number": "682-582-7031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5102 Oak Park Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276123027",
            "country_code": "US",
            "telephone_number": "910-659-3335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "TAMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P023358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://clientsecure.me/widget-redirect?scopeId=0f2fe109-bd0d-40b3-9a10-730ce96594f3&applicationId=7c72cb9f9a9b913654bb89d6c7b4e71a77911b30192051da35384b4d0c6d505b&channel=client_portal&appearance=%7B%22fullScreen%22%3Atrue%7D&clinicianId=1954782",
            "affiliation": "Y",
            "endpointDescription": "Direct messaging managed by group practice via SimplePractice",
            "affiliationName": "Healing Waves Therapy & Counseling PLLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Managed through SimplePractice EHR (no individual Direct address)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct messaging managed by group practice via SimplePractice",
            "address_1": "5102 Oak Park Rd",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276123027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikeville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.