Provider Demographics
NPI:1740360783
Name:TARMY, RHONDA K (LICSW)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:K
Last Name:TARMY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 CAVENDISH CIR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-6853
Mailing Address - Country:US
Mailing Address - Phone:978-745-4487
Mailing Address - Fax:
Practice Address - Street 1:60 CAVENDISH CIR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-6853
Practice Address - Country:US
Practice Address - Phone:978-745-4487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1104881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP23193Medicare ID - Type Unspecified