Sally Sue Tarvid, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7099123 Issued in WI

Practice address

740 Pilgrim Pkwy
Suite 103
Elm Grove, WI 53122-2067

Phone

(414) 491-0377

NPI assigned

Sep 20, 2006

Last updated

Jan 28, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tarvid Counseling LLC

  • Clinical Social Worker
  • Elm Grove, WI
  • NPI 1386048551
  Authorized official Same address or phone
• Allergic Diseases SC

  • Allergy & Immunology Physician
  • West Allis, WI
  • NPI 1609898287
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1962500769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 PILGRIM PKWY",
            "address_2": "SUITE 103",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222067",
            "telephone_number": "414-491-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PILGRIM PKWY",
            "address_2": "SUITE 103",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222067",
            "telephone_number": "414-491-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARVID",
        "first_name": "SALLY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7099123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40967200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sumiec, LPC
• Susan Meinerz DDS, LLC (Honest Teeth Dentistry)
• Systemic Perspectives, Inc.
• Alexander Tarnow, PHARMD
• Tarvid Counseling LLC
• Tetzlaff & Myhre Psychotherapy and Assessments, LLC
• Brandie Leigh Tetzlaff, M.S.S.W, L.C.S.W
• The Centered Self LLC
• Madelyn Thomas, M.S., CCC-SLP
• Lauren M. Todd

• Clinical Social Worker in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.