Tamara Lynn Aviles, LCSW-C, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10555 Issued in MD

Practice address

1009 Frederick Rd
Catonsville, MD 21228-5055

Phone

(410) 952-7881

NPI assigned

Apr 14, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Trauma and Complicated Grief Counseling Services, LLC

  • Clinical Social Worker
  • Catonsville, MD
  • NPI 1649894841
  NPD Authorized official

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1699355420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 POPLAR AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272614",
            "telephone_number": "410-952-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285055",
            "telephone_number": "410-952-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "TAMARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "85-0987206",
            "identifier": "1649894841",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SIMPLEPRACTICE",
            "affiliation": "N",
            "endpointDescription": "Encryped Software",
            "address_1": "1009 Frederick Rd",
            "city": "Catonsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212285055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jayne Ambrielle Atkinson, PHARMD
• Anna Maria Augustin, OTRL
• Avalon Center for Integrative Therapies
• Avalon Plastic Surgery Incorporated
• Andrew M Averbach, M.D.
• Awaken the Spirit LLC
• Nour Ayoub
• Sheetal Babar
• Terez Badger
• Laurie Badolato, M AC., L AC.

• Clinical Social Worker in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Clinical Social Worker in Maryland

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