Tammy M George, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007294 Issued in VA

Practice address

92 Main St
Suite 202-6
Warrenton, VA 20186-3366

Phone

(703) 380-8764

Fax

(703) 745-9130

NPI assigned

Jan 25, 2010

Reactivated

Oct 13, 2023

Sex

Female

Sole proprietor

Yes

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

• Tammy M Cakouros Former name

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC

  Medicare reassignment NPD
• Prince William County

  • Ambulance
  • Prince William, VA
  • NPI 1235437385
  NPD (past)
• Prince William County Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manassas, VA
  • NPI 1053402800
  NPD (past)

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1689905093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201880371",
            "telephone_number": "703-380-8764",
            "fax_number": "703-745-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MAIN ST",
            "address_2": "SUITE 202-6",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863366",
            "telephone_number": "703-380-8764",
            "fax_number": "703-745-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "TAMMY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2023-10-13",
        "certification_date": "2020-08-07",
        "deactivation_date": "2020-08-07",
        "reactivation_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945247",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "CAKOUROS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Gaudreault, NCMT
• Alexandre F Gauthier, M.D
• James Michael Gavaghan, RPH
• Genesis Mental Health Inc.
• Gentle Dental Care of Warrenton
• Annaliese Marie Georgi
• Demiana Samy Nathan Gergess Mekael, PHARM.D.
• Anmoldeep Singh Ghuman, DO
• Giant of Maryland LLC
• Kristin Gibbs, M.S. CCC-SLP

• Clinical Social Worker in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.