MRS. SALLY SUE TARVID (NPI# 1962500769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962500769 |
| Entity Type | Individual |
| Full Name | MRS. SALLY SUE TARVID |
| Credential | LCSW |
| Practice Address |
740 Pilgrim Pkwy Suite 103 Elm Grove WI 53122-2067 |
| Practice Telephone | 4144910377 |
| Mailing Telephone | 4144910377 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7099123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40967200 | 05 |
| Street Address |
740 PILGRIM PKWY SUITE 103 |
| City | ELM GROVE |
| State | WI |
| Zip Code | 53122-2067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871560540 | Arlie J Albrecht | Social Worker | 740 Pilgrim Pkwy, Suite 206, Elm Grove, WI 53122-2066 | 2006-03-02 |
| 1386048551 | Tarvid Counseling LLC | Social Worker | 740 Pilgrim Pkwy, Suite 103, Elm Grove, WI 53122-2066 | 2014-10-17 |
| 1841423308 | New Behavioral Health, LLC | Community/Behavioral Health | 740 Pilgrim Pkwy, Suite206, Elm Grove, WI 53122-2066 | 2009-09-01 |
| 1811132624 | Living Your Design, LLC | Community/Behavioral Health | 740 Pilgrim Pkwy, Suite 206, Elm Grove, WI 53122-2066 | 2008-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797687 | Brian Gordon Wisniewski | Hearing Instrument Specialist | 13000 W. Bluemound Road, Elm Grove, WI 53122 | 2020-10-14 |
| 1124279161 | Otto Albrecht Wiegmann | Ophthalmology | 1945 Westmoor Ter, Elm Grove, WI 53122 | 2008-10-08 |
| 1912161266 | Kaaya Medicine | Internal Medicine | 14840 Jueau Blvd, Elm Grove, WI 53122 | 2008-07-16 |
| 1205050903 | Actualized Clinical Services Consulting, Inc. | Psychologist | 820 Brinsmere Drive, Elm Grove, WI 53122 | 2007-04-12 |
| 1487793345 | Lynn Joy Gauger | Social Worker | 740 North Pilgrim Parkway, Suite 206, Elm Grove, WI 53122 | 2007-02-06 |
| 1336218957 | Bette L Frangesch | Nurse Practitioner | 13105 E Watertown Plank Rd, Unite Theresa 2, Elm Grove, WI 53122 | 2006-11-07 |
| 1043398464 | Carol Therese Haughey | Family Medicine | 1050 Legion Drive, Elm Grove, WI 53122 | 2006-11-02 |
| 1700972908 | Christos Counseling | Social Worker | 12970 W. Bluemound Road, #105, Elm Grove, WI 53122 | 2006-10-05 |
| 1932138245 | Tammy M Groszczyk | Counselor | 890 Elm Grove Rd Ste 6, Elm Grove, WI 53122 | 2006-06-30 |
| 1689272437 | James Joseph Brinks | Hearing Instrument Specialist | 13000 W. Bluemound Road, Elm Grove, WI 53122 | 2020-10-14 |
| Find all providers in zip 53122 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356569115 | Applied Therapies & Wellness Center, S.c. | Social Worker | 12970 W Bluemound Rd Ste 304, Elm Grove, WI 53122-2607 | 2007-04-24 |
| 1487793345 | Lynn Joy Gauger | Social Worker | 740 North Pilgrim Parkway, Suite 206, Elm Grove, WI 53122 | 2007-02-06 |
| 1154476026 | American Behavioral Clinics | Social Worker | 15285 Watertown Plank Rd, Elm Grove, WI 53122-2339 | 2007-01-23 |
| 1053461079 | Karen A Mahan | Social Worker | 925 Elm Grove Rd, Elm Grove, WI 53122-2572 | 2007-01-11 |
| 1700972908 | Christos Counseling | Social Worker | 12970 W. Bluemound Road, #105, Elm Grove, WI 53122 | 2006-10-05 |
| 1750391678 | Jill Ann Pederson | Social Worker | 12425 Knoll Rd, Ste. #110, Elm Grove, WI 53122-2657 | 2006-08-09 |
| 1871560540 | Arlie J Albrecht | Social Worker | 740 Pilgrim Pkwy, Suite 206, Elm Grove, WI 53122-2066 | 2006-03-02 |
| 1386048551 | Tarvid Counseling LLC | Social Worker | 740 Pilgrim Pkwy, Suite 103, Elm Grove, WI 53122-2066 | 2014-10-17 |
| 1376987495 | Laura Lynn Schulz | Social Worker | 500 Elm Grove Rd, Ste 325, Elm Grove, WI 53122-2561 | 2013-04-19 |
| 1578860052 | Margaret Marie Bayer | Social Worker | 12970 W Bluemound Rd, Suite 308, Elm Grove, WI 53122-2607 | 2011-02-18 |
| Find all providers in ELM GROVE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.