Melissa Back Tamburo, PHD, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

07314 Issued in MD

Practice address

10440 Shaker Dr Ste 208
Columbia, MD 21046-2339

Phone

(410) 884-6031

NPI assigned

Feb 25, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1760722995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MURDOCK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121746",
            "telephone_number": "410-952-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 SHAKER DR STE 208",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462339",
            "telephone_number": "410-884-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACK TAMBURO",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marcie Baer, M.AC, L.AC.

• Clinical Social Worker in Columbia, MD
• Providers in Columbia, 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 Feb 25, 2013; 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.