Tara Wilford, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

098679 Issued in IA

Practice address

43928 Mound Rd
Suite 100
Sterling Heights, MI 48314-2081

Phone

(586) 254-5660

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tara Pradko Former name

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Counseling Services PLLCGroup PAC ID 9234612052, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Green Counseling Services PLLC

  • Mental Health Counselor
  • Coralville, IA
  • NPI 1528564762
  Medicare reassignment Care Compare group
• Macomb Family Services, Inc.

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1831190701
  NPD (past)
• Oakland Macomb Cancer Specialists, PC

  • Hematology & Oncology Physician
  • Rochester Hills, MI
  • NPI 1396364329
  NPD (past)

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1023489333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 24TH STREET DR SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43928 MOUND RD",
            "address_2": "SUITE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142081",
            "telephone_number": "586-254-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILFORD",
        "first_name": "TARA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098078",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "098679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "PRADKO",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alicia A Width, MA, PSYD
• Martha Wiebe
• Kelly Ann Wiese
• Chrystal I Wilchcombe
• Alaya Chere Wiley
• Amber Willard
• William Beauont Hospital
• William F Goss DC I PLLC
• William Massey MD PC
• Audley Williams, M.D.

• Clinical Social Worker in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.