Jahaira Tavares, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904014830 Issued in VA

Practice address

1120 Laskin Rd Ste 104
Virginia Beach, VA 23451-5273

Phone

(757) 650-5346

NPI assigned

Jun 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Seven Cities Therapy, PLLC

  • Marriage & Family Therapist
  • Virginia Beach, VA
  • NPI 1871284349

  Clinical

  NPD
• Atlantic Family and Adolescent Therapy, PLLC

  • Marriage & Family Therapist
  • Virginia Beach, VA
  • NPI 1457886798
  NPD (past)

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1972287308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 OLMSTEAD ST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231431",
            "telephone_number": "347-295-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 LASKIN RD STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515273",
            "telephone_number": "757-650-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "JAHAIRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083588",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashara Rashane Tate
• Drewry Gresham Tatterson
• Madison Pauline Tatum, NP
• Summer Michele Tatum
• Steven M Taubman, DPM
• Tavia Care LLC
• Toni Faye Tayag, ATC
• Taylor Group & Assoc, LLC
• Taylor Made Home Health Care LLC
• Taylor Support Services LLC

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.