Provider Demographics
NPI:1427250166
Name:TARRE, EVE R (LCSW)
Entity type:Individual
Prefix:
First Name:EVE
Middle Name:R
Last Name:TARRE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 FARMINGTON AVE
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-2133
Mailing Address - Country:US
Mailing Address - Phone:860-236-5503
Mailing Address - Fax:860-651-7882
Practice Address - Street 1:1007 FARMINGTON AVE
Practice Address - Street 2:SUITE 6B
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2133
Practice Address - Country:US
Practice Address - Phone:860-236-5503
Practice Address - Fax:860-651-7882
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0003541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT000354OtherLCSW
CT000354OtherLCSW