Tamara Jenkins, MSSW
Individual provider Active NPI Clinical Social Worker · Montgomery, AL
NPI 1720083371 · NPPES record last updated Aug 30, 2012
Key facts
- NPI
- 1720083371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0727C-130P (AL)
- Practice address
- 4750-C Woodmere Blvd
Montgomery, AL 36106 - Phone
- (334) 244-7322
- Fax
- (334) 356-1603
- NPI assigned
- Jun 19, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0727C-130P | AL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0727C-130P | AL | Yes |
Addresses
Primary practice location
4750-C Woodmere Blvd
Montgomery, AL 36106
Mailing address
4750-C Woodmere Blvd
Montgomery, AL 36106
Phone (334) 244-7322
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339051068 | Medicaid | AL |
Other providers in Montgomery, AL
- Alexander Jenkins
- James Mallory Jenkins Jr.
- Julie Jenkins
- Manilla Shanta Jenkins
- Nadia C Jenkins
- Jennifer S. Underwood, Bcba
- Jennings Professional Services LLC
- May Strickland Jennings
- Melissa Jennings
- Rita Jennings
All providers in Montgomery, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.