Provider Demographics
NPI:1659462976
Name:JARMAN, TAMARA TYNDALL (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:TYNDALL
Last Name:JARMAN
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 WINDYFIELD DR
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-9089
Mailing Address - Country:US
Mailing Address - Phone:919-920-9373
Mailing Address - Fax:919-580-9913
Practice Address - Street 1:125 WINDYFIELD DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-9089
Practice Address - Country:US
Practice Address - Phone:919-920-9373
Practice Address - Fax:919-580-9913
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0030261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1101POtherBCBS
NC6002064Medicaid
NC2870708AMedicare ID - Type Unspecified