Active NPI
Tamara K Port
- Clinical Social Worker
- Hamilton, VA
National Provider Identifier
1760960744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904008702
- Practice address
- 42 W Colonial Hwy
Hamilton, VA 20158-9007 - Phone
- (540) 208-5628
- Fax
- (800) 735-4520
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904008702 | VA | Primary |
Addresses
Primary practice location
42 W Colonial Hwy
Hamilton, VA 20158-9007
Mailing address
42 W Colonial Hwy
Hamilton, VA 20158-9007
Phone (540) 208-5628
Other names 1
- Tamara K Imfeld
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904008702 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Therapy, LLC | Clinical | Current | Accepting new patients |
Locations
42 W Colonial Hwy
Hamilton, VA 20158
Phone (540) 208-5628
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1760960744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 W COLONIAL HWY",
"city": "HAMILTON",
"state": "VA",
"postal_code": "201589007",
"telephone_number": "540-208-5628",
"fax_number": "800-735-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 W COLONIAL HWY",
"city": "HAMILTON",
"state": "VA",
"postal_code": "201589007",
"telephone_number": "540-208-5628",
"fax_number": "800-735-4520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORT",
"first_name": "TAMARA",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904008702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMARA",
"last_name": "IMFELD",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hamilton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.