Tara Alexandra Link, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019147 Issued in IL

Practice address

11S270 S Jackson St Ste 101
Burr Ridge, IL 60527-6823

Phone

(773) 357-6351

NPI assigned

Jul 5, 2017

Sex

Female

Sole proprietor

No

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

Locations

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.

• Link to Wellness

  • Mental Health Counselor
  • Burr Ridge, IL
  • NPI 1679205439
  NPD
• Chicago Psych Therapy Group, Inc.

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1184165383
  NPD (past)

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1063933521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11S270 S JACKSON ST STE 101",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276823",
            "telephone_number": "773-357-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11S270 S JACKSON ST STE 101",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276823",
            "telephone_number": "773-357-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "TARA",
        "middle_name": "ALEXANDRA",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Catherine Lichota, MD
• Jennifer Liedel, MD
• Life Behavior Support
• Mark W Lingen, DDS
• Link to Wellness
• Elizabeth E Littlejohn, MD
• Esther D Littman, P.T.
• Muddamalle Livingstone, MD
• Ana Loduca, MD
• Ashley Rose Lofky

• Clinical Social Worker in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.