Healthcare Provider Details

I. General information

NPI: 1588124044
Provider Name (Legal Business Name): TAMA STEARS MSW, CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8762 HIGHWAY 182
OPELOUSAS LA
70570-5603
US

IV. Provider business mailing address

715 POINTE VERTE RD
WASHINGTON LA
70589-4075
US

V. Phone/Fax

Practice location:
  • Phone: 337-942-2005
  • Fax:
Mailing address:
  • Phone: 337-258-6845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15280
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: