Provider Demographics
NPI:1003287137
Name:CULVER, TAMIKA L (LCSW)
Entity Type:Individual
Prefix:
First Name:TAMIKA
Middle Name:L
Last Name:CULVER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 E LOOCKERMAN ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-8306
Mailing Address - Country:US
Mailing Address - Phone:302-244-8054
Mailing Address - Fax:
Practice Address - Street 1:9 E LOOCKERMAN ST
Practice Address - Street 2:SUITE 308
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-8306
Practice Address - Country:US
Practice Address - Phone:302-244-8054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-15
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00013891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical