Provider Demographics
NPI:1992915714
Name:LINSEISEN, TAMERA B (MSSW, ACSW, LCSW)
Entity type:Individual
Prefix:PROF
First Name:TAMERA
Middle Name:B
Last Name:LINSEISEN
Suffix:
Gender:F
Credentials:MSSW, ACSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4302 TRAVIS COUNTRY CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-6429
Mailing Address - Country:US
Mailing Address - Phone:512-431-0014
Mailing Address - Fax:
Practice Address - Street 1:4302 TRAVIS COUNTRY CIR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-6429
Practice Address - Country:US
Practice Address - Phone:512-431-0014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLCSW 167211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical