Active NPIIndividual provider

Tara Black, LICSW

Social Worker, Clinical in Hadley, Massachusetts

NPI Number1922293125
Practice location
185 Russell St, Hadley, MA 01035-9521
Fax
—
Last updated
March 12, 2021

Tara Black is a Social Worker, Clinical based in Hadley, MA. Tara Black practices in Hadley, MA and has the professional credentials of LICSW. The NPI Number for Tara Black is 1922293125 and holds a License No. 116879 (MA). The current practice location address for Tara Black is 185 Russell St, Hadley, MA 01035-9521 and can be reached out via phone at 201-248-9878.

Provider Profile Details

NPI Number
1922293125
Provider Name
Tara Black
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
185 Russell St, Hadley, MA 01035-9521
Phone Number
201-248-9878
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 11, 2007
Last Update Date
March 12, 2021
Certification Date
March 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 Russell St
Hadley, MA 01035-9521
City
Hadley
Zip
01035-9521
Phone Number
201-248-9878
Hadley, MA 01035Get directions →

Provider Business Mailing Address Details

Address
185 Russell St
Hadley, MA 01035-9521
City
Hadley
State
MA
Zip
01035-9521
Phone Number
413-240-4093

License Information

Taxonomy (1)
Social Worker · 104100000X
License Number (2)
116879
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Tara Black, LICSW?

The NPI number of Tara Black, LICSW is 1922293125. It was assigned on September 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Tara Black, LICSW?

Tara Black, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116879.

Where does Tara Black, LICSW practice?

The practice location is 185 Russell St, Hadley, MA 01035-9521. The office can be reached at 201-248-9878 (phone).

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 1922293125 directly on the NPPES registry website.

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