Provider Demographics
NPI:1013666098
Name:PRINCI, TAMARIS (LMSW)
Entity Type:Individual
Prefix:
First Name:TAMARIS
Middle Name:
Last Name:PRINCI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 CANDLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-3661
Mailing Address - Country:US
Mailing Address - Phone:203-366-5029
Mailing Address - Fax:
Practice Address - Street 1:50 DEKALB AVE APT S10
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1447
Practice Address - Country:US
Practice Address - Phone:646-942-7940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty