MEDICARE: TAMALA KAY GILARDI LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904005751	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	179044	OTHER	VA	ANTHEM
3	085360M	OTHER	VA	SENTARA

General Provider Information

NPI Number	:	1326053711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMALA KAY GILARDI LCSW

Provider Business Mailing Address
First Line	:	1951 EVELYN BYRD AVE
Second Line	:	SUITE B
City	:	HARRISONBURG
State	:	VA
Zip	:	22801-3483
Country	:	US
Telephone Number	:	540-820-7673
Fax Number	:	540-437-0421

Provider Business Practice Location Address
First Line	:	1951 EVELYN BYRD AVE
Second Line	:	SUITE B
City	:	HARRISONBURG
State	:	VA
Zip	:	22801-3483
Country	:	US
Telephone Number	:	540-820-7673
Fax Number	:	540-437-0421

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/06/2012

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