Provider Demographics
NPI:1699284703
Name:STEPIEN, TAMRAH (LMSW (CT))
Entity type:Individual
Prefix:
First Name:TAMRAH
Middle Name:
Last Name:STEPIEN
Suffix:
Gender:F
Credentials:LMSW (CT)
Other - Prefix:
Other - First Name:TAMRAH
Other - Middle Name:
Other - Last Name:BRIODY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2 WATERSIDE XING
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-1587
Mailing Address - Country:US
Mailing Address - Phone:860-731-5522
Mailing Address - Fax:860-731-5536
Practice Address - Street 1:2 WATERSIDE XING
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-1587
Practice Address - Country:US
Practice Address - Phone:860-731-5522
Practice Address - Fax:860-731-5534
Is Sole Proprietor?:No
Enumeration Date:2017-09-21
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CT5485101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program