Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tamara Ann Stabosz, LCSW

Individual provider Clinical Social Worker · NPI 1760021513

Tamara Ann Stabosz, LCSW is a Clinical Social Worker in Fairview, North Carolina. Qualified in 1994, 32 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
32
Licensed in
NC
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

76 Ashworth Dr
Fairview, NC 28730-9229
Phone: (815) 412-4003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C011430 (NC)

Record details

NPI number1760021513
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 26, 2019
Last updated in NPPESDecember 26, 2019
Certification dateDecember 26, 2019
Mailing address76 Ashworth Dr, Fairview, NC 28730-9229

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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