Provider Demographics
NPI:1477102499
Name:RIMER, TAMARA SUE (LCSW)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:SUE
Last Name:RIMER
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:PO BOX 1299
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-1299
Mailing Address - Country:US
Mailing Address - Phone:303-601-8493
Mailing Address - Fax:
Practice Address - Street 1:8000 E PRENTICE AVE STE B14
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2758
Practice Address - Country:US
Practice Address - Phone:303-601-8493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.009912611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical