Dr Tara Alexander LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

991519 Issued in CO

Legal business name

DR TARA ALEXANDER LCSW PC

Practice address

3540 Austin Bluffs Pkwy Ste 3
Colorado Springs, CO 80918-5750

Phone

(719) 310-0005

Fax

(719) 623-0222

NPI assigned

May 25, 2012

Organization subpart

No

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

Authorized official

Name

Tara Alexander, LCSWNPI 1831135144

Title

Owner

Phone

(719) 310-0005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara L. Alexander, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1831135144
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1104186972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 AUSTIN BLUFFS PKWY STE 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185750",
            "telephone_number": "719-310-0005",
            "fax_number": "719-623-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 AUSTIN BLUFFS PKWY STE 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185750",
            "telephone_number": "719-310-0005",
            "fax_number": "719-623-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TARA ALEXANDER LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-310-0005",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.