Individual provider Active NPI

Tara S Romano, LMSW ACSW LMFT BCD

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1023238201
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
TR034285 Issued in MI
Practice address
607 Heritage CT
Holland, MI 49423-5481
Phone
(616) 396-6285
Fax
(616) 355-7704
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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 TR034285 MI Primary

Addresses

Primary practice location

607 Heritage CT
Holland, MI 49423-5481

Mailing address

PO Box 120125
Grand Rapids, MI 49528-0103
Phone (616) 396-6285

Other identifiers 2

IdentifierTypeStateIssuer
P69546OtherBCN
08913650OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000468 MI Practitioner - Clinical Social Worker 6305993643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Encourage Counseling LLCGroup PAC ID 4688721913, 5 clinicians

Practice addresses (Care Compare)

607 Heritage CT
Suite a
Holland, MI 49423-5443
Phone (616) 396-6285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TR034285MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Encourage Counseling LLC Clinical CurrentSince Dec 1, 2008 Accepting new patients

Locations

607 Heritage Ct
Holland, MI 49423
Phone (616) 396-3399

607 Heritage Ct
Ste A
Holland, MI 49423
Phone (616) 396-6285

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1023238201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120125",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495280103",
            "telephone_number": "616-396-6285",
            "fax_number": "616-355-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 HERITAGE CT",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235481",
            "telephone_number": "616-396-6285",
            "fax_number": "616-355-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "TARA",
        "middle_name": "S",
        "credential": "LMSW ACSW LMFT BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "TR034285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P69546",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08913650",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.