Wilkinson, Tamara L

Wilkinson, Tamara L is an sole proprietor health care provider with primary practice located at 208 Valley Rd , New Canaan CT 06840-3899. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilkinson, Tamara L can be contacted via phone (203) 801-3146.

Contact Information

Primary practice address
208 Valley Rd New Canaan CT 06840-3899
Phone: (203) 801-3146
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6122 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13530 Connecticut
Behavioral Health & Social Service Providers / Social Worker 104100000X 115435 New York

Profile Details

NPI number 1508521493
LBN Legal business name Wilkinson, Tamara L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2021
Last updated Dec 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508521493 NPPES
Connecticut Other 13530 CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
Connecticut Other 6122 CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
Connecticut Other 115435 CONNECTICUT DEPARTMENT OF PUBLIC HEALTH

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