Individual provider Active NPI

Taharka Sankara, LCSW, LCADC

  • Clinical Social Worker
  • Asbury Park, NJ
National Provider Identifier
1043553829
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05644200 Issued in NJ
Practice address
713 Bangs Ave Ste 3
Asbury Park, NJ 07712-6905
Phone
(732) 272-1340
Fax
(732) 272-1390
NPI assigned
Mar 31, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00174900 NJ
Clinical Social Worker 1041C0700X 44SC05644200 NJ Primary

Addresses

Primary practice location

713 Bangs Ave Ste 3
Asbury Park, NJ 07712-6905

Mailing address

36 Shrewsbury Dr
Long Branch, NJ 07740-7619
Phone (732) 337-8323

Other practice location 1

36 Shrewsbury Dr
Long Branch, NJ 07740-7619
Phone (732) 272-1340

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00174900NJMDAddiction (Substance Use Disorder) Counselor
44SC05644200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Support Services, LLC CurrentSince Nov 3, 2024 Accepting new patients
Counseling Support Services, LLC Current Accepting new patients

Locations

713 Bangs Ave
Ste 3
Asbury Park, NJ 07712
Phone (732) 272-1340

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1364688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043553829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SHREWSBURY DR",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077407619",
            "telephone_number": "732-337-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 BANGS AVE STE 3",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126905",
            "telephone_number": "732-272-1340",
            "fax_number": "732-272-1390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Shrewsbury Dr",
            "address_purpose": "LOCATION",
            "city": "Long Branch",
            "state": "NJ",
            "postal_code": "077407619",
            "country_code": "US",
            "telephone_number": "732-272-1340",
            "fax_number": "732-272-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANKARA",
        "first_name": "TAHARKA",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00174900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05644200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asbury Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.