# MS. TAMARA ELIZABETH CHURCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063001378
- **Gender:** F
- **Credential:** LISW-CP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904017150 | VA | — |
| 1041C0700X | Clinical Social Worker | 16682 | SC | Yes |
| 1041C0700X | Clinical Social Worker | 18836 | TX | — |
| 1041C0700X | Clinical Social Worker | 34497 | MN | — |
| 1041C0700X | Clinical Social Worker | 5737C | AL | — |
| 1041C0700X | Clinical Social Worker | CSW.09933413 | CO | — |

## Other

- **Enumeration date:** 01/12/2021
- **Last updated:** 08/06/2026
