Tanya S. Robertson LCSW LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

0904006220 Issued in VA

Legal business name

TANYA S. ROBERTSON LCSW LLC

Practice address

5516 Falmouth St
Vistas II, Suite 102
Richmond, VA 23230-1819

Phone

(804) 218-6316

Fax

(804) 282-0012

NPI assigned

Jan 12, 2012

Last updated

Jan 12, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tanya S. Robertson, LCSWNPI 1417139015

Title

Owner

Phone

(804) 218-6316

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tanya S Robertson, L.C.S.W.

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1417139015
  Medicare reassignment NPD Authorized official
• Chelsea Lynn Cassidy, L.C.S.W.

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1871939363
  NPD (past)

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1932479599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 FALMOUTH ST",
            "address_2": "VISTAS II, SUITE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301819",
            "telephone_number": "804-218-6316",
            "fax_number": "804-282-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 FALMOUTH ST",
            "address_2": "VISTAS II, SUITE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301819",
            "telephone_number": "804-218-6316",
            "fax_number": "804-282-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANYA S. ROBERTSON LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-218-6316",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0904006220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Clarke Tanner, MPT, COMT, ATC, CSCS
• Fred Leonard Tanner Jr., R.N.
• Gregory W Tanner, M.D.
• Reed Tracy Tanner Jr., MT-BC
• Somerlee Tanner
• Anne H Tapscott, N.P.
• Sandy Ives Tarant, M.D.
• Nicholas George Tarasidis, MD
• Theopisti (Vera) Tarasidis, D.D.S.
• Fatima Tariq

• Adult Mental Health Clinic/Center in Richmond, VA
• Providers in Richmond, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.