Katy Tarella, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119934 Issued in MA

Practice address

115 Mill St
Mailstop 137
Belmont, MA 02478-1064

Phone

(617) 855-4178

NPI assigned

Nov 16, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Clinical Collective, Inc.

  • Mental Health Counselor
  • Rockville, MD
  • NPI 1316744584
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1003358433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "address_2": "MAILSTOP 137",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "address_2": "MAILSTOP 137",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781064",
            "telephone_number": "617-855-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARELLA",
        "first_name": "KATY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M. Szulewski, MD
• Jeffrey B Szymanski, PH.D.
• Sandra E Talanian, LICSW
• Christopher M Tangren, MD
• Patricia Ann Tarbox, LICSW
• Jennifer Falotico Taylor, PH.D.
• Steven Trevor Taylor, MD, MPH
• Christine Tebaldi, NP
• Telesto Medtech LLC
• Rachel Tester, APRN

• Clinical Social Worker in Belmont, MA
• Providers in Belmont, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.