Provider Demographics
NPI:1801244520
Name:ORAVEC, TARRA (LCSW)
Entity type:Individual
Prefix:
First Name:TARRA
Middle Name:
Last Name:ORAVEC
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:766 LOMA PRIETA DR
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-5518
Mailing Address - Country:US
Mailing Address - Phone:724-994-7054
Mailing Address - Fax:
Practice Address - Street 1:39199 LIBERTY ST
Practice Address - Street 2:BUILDING B, ROOM 118
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538
Practice Address - Country:US
Practice Address - Phone:510-791-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-03
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02002001041C0700X
CA1238571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical