Erica E Tamblini, LCSW | |
275 Route 30 N, Bomoseen, VT 05732-9647 | |
(802) 468-5641 | |
(802) 468-2923 |
Full Name | Erica E Tamblini |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 275 Route 30 N, Bomoseen, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033361829 | NPI | - | NPPES |
04047967 | Medicaid | NY | |
1015655 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0890001265 (Vermont) | Primary |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336193838 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000357 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073567590 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000784 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104870922 PECOS PAC ID: 2961467386 Enrollment ID: O20050131001023 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467681114 PECOS PAC ID: 2961467386 Enrollment ID: O20100804000784 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780969345 PECOS PAC ID: 2961467386 Enrollment ID: O20120321000420 |
Mailing Address | Practice Location Address |
---|---|
Erica E Tamblini, LCSW 71 Allen St, Ste 101, Rutland, VT 05701-4570 Ph: (802) 855-2027 | Erica E Tamblini, LCSW 275 Route 30 N, Bomoseen, VT 05732-9647 Ph: (802) 468-5641 |
Janine F. Small, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 Route 30 N, Bomoseen, VT 05732 Phone: 802-468-5641 Fax: 802-468-2923 |