Healthcare Provider Details

I. General information

NPI: 1750708418
Provider Name (Legal Business Name): TAMAR Z OPPENHEIMER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2014
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8942 IRVING AVE
SURFSIDE FL
33154-3334
US

IV. Provider business mailing address

475 BILTMORE WAY STE 109
CORAL GABLES FL
33134-5724
US

V. Phone/Fax

Practice location:
  • Phone: 786-367-7758
  • Fax:
Mailing address:
  • Phone: 415-424-4266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW04501
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW7223
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC24569
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: