TAMARA DOMAZET (NPI# 1811276819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811276819 |
| Entity Type | Individual |
| Full Name | TAMARA DOMAZET |
| Credential | LICSW |
| Practice Address |
152 River Woods Ln Burnsville MN 55337-3322 |
| Practice Telephone | 5073341983 |
| Practice Fax Number | 5073332307 |
| Mailing Telephone | 5073341983 |
| Mailing Fax Number | 5073332307 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
19564 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE OF MINNESOTA BOARD OF SOCIAL WORK | 19564 | 01 |
| Street Address |
152 RIVER WOODS LN |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414376 | Mary Kay Hill | Social Worker | 1200 Echo Dr, Burnsville, MN 55337-4730 | 2020-10-09 |
| 1316552722 | Matthew Ray Riley | Social Worker | 36 Sweet Cider Ln, Burnsville, NC 28714-9730 | 2020-09-11 |
| 1699337436 | Marisa Zimmerman | Social Worker | 15509 Bryant Ave S, Burnsville, MN 55306-5456 | 2019-07-02 |
| 1730533399 | James Bean II | Social Worker | 13200 E Manor Blvd, Burnsville, MN 55337-2092 | 2016-04-20 |
| 1629471925 | Cindymarie Mcpipe | Social Worker | 124 Highway 13 E Apt 310, Burnsville, MN 55337-4821 | 2014-09-30 |
| 1376988857 | Arthur Bunce | Social Worker | 2960 Judicial Rd Ste 210, Burnsville, MN 55337-5512 | 2013-05-09 |
| 1376832980 | Anna Norah Ruschmeyer Bowe | Social Worker | 1500 Mcandrews W Rd, Burnsville, MN 55337-4432 | 2011-04-04 |
| 1598063026 | Phia Tony Xiong | Social Worker | 366 Maple Island Rd, Burnsville, MN 55306-5504 | 2011-03-08 |
| 1922232842 | Leng Xiong | Social Worker | 13028 14th Ave S, Burnsville, MN 55337-3971 | 2009-05-06 |
| 1669648515 | Colleen Rene Hannush | Social Worker | 95 Lady Bug Ln, Burnsville, NC 28714-7673 | 2008-05-01 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.