Provider Demographics
NPI:1730366949
Name:ORLOPP, TAMMY LYNN (LCSW, CASAC)
Entity type:Individual
Prefix:MISS
First Name:TAMMY
Middle Name:LYNN
Last Name:ORLOPP
Suffix:
Gender:F
Credentials:LCSW, CASAC
Other - Prefix:MISS
Other - First Name:TAMMY
Other - Middle Name:LYNN
Other - Last Name:BLACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, CASAC
Mailing Address - Street 1:3776 YOST RD
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:NY
Mailing Address - Zip Code:13165-8445
Mailing Address - Country:US
Mailing Address - Phone:315-331-3862
Mailing Address - Fax:
Practice Address - Street 1:31 THURBER DR
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:NY
Practice Address - Zip Code:13165-1665
Practice Address - Country:US
Practice Address - Phone:315-539-1957
Practice Address - Fax:315-539-4393
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11844101YA0400X
NY0856381041C0700X
NY060523-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical