Provider Demographics
NPI:1962656298
Name:TOMASEK, TAMIA BARNES (LCPC)
Entity type:Individual
Prefix:MRS
First Name:TAMIA
Middle Name:BARNES
Last Name:TOMASEK
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MS
Other - First Name:TAMIA
Other - Middle Name:LASHUNDA
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:4432 WINDOM PL NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2410
Mailing Address - Country:US
Mailing Address - Phone:202-674-2887
Mailing Address - Fax:202-499-5637
Practice Address - Street 1:8609 2ND AVE STE 404B
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3374
Practice Address - Country:US
Practice Address - Phone:202-674-2887
Practice Address - Fax:202-499-5637
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2965101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD414931900Medicaid