MS. VIRGINIA TAVERNER LADC NPI 1174961437

NPI Information

NPI: 1174961437
Provider Name: MS. VIRGINIA TAVERNER, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
54 E RAMSDELL ST
NEW HAVEN, CT
ZIP 06515
Phone: (203) 337-9943
Get Directions

MS. Virginia Taverner, LADC is an addiction (substance use disorder) counselor in New Haven, CT. MS. Virginia Taverner, LADC NPI is 1174961437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

54 E RAMSDELL ST
NEW HAVEN, CT
ZIP 06515-140
Phone: (203) 337-9943
Fax: (203) 387-6533

The NPI 1174961437 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/10/2013 and was last updated on 10/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000988	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008039745	MEDICAID	CONNECTICUT
2	008023170	MEDICAID	CONNECTICUT
3	008024427	MEDICAID	CONNECTICUT
4	008045348	OTHER		TAVERNER MEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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