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General NPI Number Information
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NPI Number | 1396310520
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Entity Type | Organization
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Legal Business Name | TAMARA PINCUS LICSW LLC
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1730 RHODE ISLAND AVE NW STE 203
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City | WASHINGTON
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State | DC
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Zip | 20036-3146
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Country | US
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Telephone | 240-305-8315
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Fax |
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Provider Business Mailing Address
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Address Line | 7008 ORIOLE AVE
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City | SPRINGFIELD
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State | VA
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Zip | 22150-3501
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Country | US
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Telephone | 240-305-8315
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MS. TAMARA HOPE PINCUS
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Credential | LICSW CST
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Telephone | 240-305-8315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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