Active NPIIndividual providerSole proprietor

Jared Tactuk, LCSW

Social Worker, Clinical in Clifton, New Jersey

NPI Number1164032652
Practice location
95 Main Ave Ste 278, Clifton, NJ 07014-1748
Fax
973-807-1992
Last updated
February 5, 2025

Jared Tactuk is a Social Worker, Clinical based in Clifton, NJ. Jared Tactuk practices in Clifton, NJ and has the professional credentials of LCSW. The NPI Number for Jared Tactuk is 1164032652 and holds a License No. 44SC05882900 (NJ). The current practice location address for Jared Tactuk is 95 Main Ave Ste 278, Clifton, NJ 07014-1748 and can be reached out via phone at 973-692-5127 and via fax at 973-807-1992.

Provider Profile Details

NPI Number
1164032652
Provider Name
Jared Tactuk
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
95 Main Ave Ste 278, Clifton, NJ 07014-1748
Phone Number
973-692-5127
Fax Number
973-807-1992
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 9, 2020
Last Update Date
February 5, 2025
Certification Date
February 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Main Ave Ste 278
Clifton, NJ 07014-1748
Zip
07014-1748
Phone Number
973-692-5127
Fax Number
973-807-1992
Clifton, NJ 07014Get directions →

Provider Business Mailing Address Details

Address
95 Main Ave Ste 278
Clifton, NJ 07014-1748
City
Clifton
State
NJ
Zip
07014-1748
Phone Number
973-692-5127
Fax Number
973-807-1992

License Information

License Number
44SC05882900
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Clifton, NJ

View all Social Worker, Clinical providers in Clifton →

Frequently Asked Questions

What is the NPI number of Jared Tactuk, LCSW?

The NPI number of Jared Tactuk, LCSW is 1164032652. It was assigned on August 9, 2020 and is currently active in the NPPES registry.

What is the specialty of Jared Tactuk, LCSW?

Jared Tactuk, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05882900.

Where does Jared Tactuk, LCSW practice?

The practice location is 95 Main Ave Ste 278, Clifton, NJ 07014-1748. The office can be reached at 973-692-5127 (phone) or 973-807-1992 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164032652 directly on the NPPES registry website.

Browse related providers