Tara Devineni
TARA DEVINENI, LICSW, LLC


Address: 1555 Connecticut Ave Nw, Washington, DC 20036-1111
Phone: 2028105786

Tara Devineni (NPI# 1568872240, PAC ID# 5496970709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1568872240
PAC ID by PECOS 5496970709
Professional Enrollment ID I20140630001426
Full Name Tara Devineni
Organization Legal Name TARA DEVINENI, LICSW, LLC
Address 1555 Connecticut Ave Nw
Washington
DC 20036-1111
Phone Number 2028105786
Gender F
Graduation Year 2004
Primary Specialty CLINICAL SOCIAL WORKER
Group Practice PAC ID 4587889894
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1555 Connecticut Ave Nw, Washington, DC 20036-1111 2028105786 TARA DEVINENI, LICSW, LLC
1555 Connecticut Ave Nw, Suite 200e, Washington, DC 20036-1111 2028105786 TARA DEVINENI, LICSW, LLC

Organization Information

Organization Legal Name TARA DEVINENI, LICSW, LLC
Physicians 1

Office Location

Street Address 1555 CONNECTICUT AVE NW
City WASHINGTON
State DC
Zip 20036-1111

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Name Specialty Organization Address
Eric C Bergman Psychiatry 1555 Connecticut Ave Nw, Suite 300w, Washington, DC 20036-1125

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Name Specialty Organization Address
Aisha R Riley Nurse Practitioner 2001 Massachusetts Nwave, Washington, DC 20036-1011
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Carrie E Renfro Clinical Social Worker Family Matters of Greater Washington 1509 16th St Nw, Washington, DC 20036-1461
Jorge A Membreno Clinical Social Worker Family Matters of Greater Washington 1509 16th St Nw, Washington, DC 20036-1461
Trinaty N Fofana Clinical Social Worker Family Matters of Greater Washington 1509 16th St Nw, Washington, DC 20036-1461
Mary R Cuevas Clinical Social Worker Family Matters of Greater Washington 1509 16th St Nw, Washington, DC 20036-1461
Cheryl Tran Optometry Miller Eyecare Annapolis Dc, LLC 1330 Connecticut Nwave, Washington, DC 20036-1704
Chales Gamboa Optometry Miller Eyecare Annapolis Dc, LLC 1330 Connecticut Nwave, Washington, DC 20036-1704
Eugenia M Priddy Psychiatry 1350 Connecticut Ave Nw, Suite 602, Washington, DC 20036-1716
Jon White General Surgery 1350 Connecticut Ave Nw, Suite 1225 Jon White Md Office, Washington, DC 20036-1718
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Competitor

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City WASHINGTON
Zip Code 20036
Specialty CLINICAL SOCIAL WORKER
City + Specialty WASHINGTON + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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