Tamela Joan Bryan, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Hubert, NC
NPI 1982993549 · NPPES record last updated Apr 5, 2011
Key facts
- NPI
- 1982993549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- NC C006910 (NC)
- Practice address
- 205 Dayrell Dr
Hubert, NC 28539-4405 - Phone
- (910) 934-3433
- Fax
- (910) 449-6240
- NPI assigned
- Apr 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC C006910 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NC C006910 | NC | Yes |
Addresses
Primary practice location
205 Dayrell Dr
Hubert, NC 28539-4405
Mailing address
PSC Box 21001
Marine & Family Services
Jacksonville, NC 28545-1001
Phone (910) 449-5241
Other providers in Hubert, NC
- Cynthia E Bills
- Marilyn Jean Boehm
- Melissa Buckalew
- Burklo Home, Inc
- Tiffany Rita-Jane Burnett
- Callie Kay Byron
- Gay Cabral
All providers in Hubert, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.