Individual provider Active NPI

Tamara Hale-Howell, LCSW

  • Clinical Social Worker
  • Williston, FL
National Provider Identifier
1003406042
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15122 Issued in FL
Practice address
19036 NE 30TH LN
Williston, FL 32696-7849
Phone
(850) 774-4589
NPI assigned
Jan 23, 2021
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW15122 FL Primary

Addresses

Primary practice location

19036 NE 30TH LN
Williston, FL 32696-7849

Mailing address

19036 NE 30TH LN
Williston, FL 32696-7849
Phone (850) 774-4589

Other names 1

  • Tamara Hale Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WILLISTON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW15122FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1003406042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19036 NE 30TH LN",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326967849",
            "telephone_number": "850-774-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19036 NE 30TH LN",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326967849",
            "telephone_number": "850-774-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE-HOWELL",
        "first_name": "TAMARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-23",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WILLISTON",
            "affiliation": "N",
            "address_1": "19036 NE 30th Ln",
            "city": "Williston",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326967849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "HALE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.