Individual
CASEY TARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMS, QMHS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.162035
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.163050
OH
104100000X
Social Worker
Primary
S.2504655-TRNE
OH
104100000X
Social Worker
S.2614184
OH
Other
Enumeration date
09/22/2020
Last updated
07/17/2026
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