Joanne Tarantino, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113506 Issued in MA

Practice address

205 Wellman Ave
North Chelmsford, MA 01863-1360

Phone

(978) 514-4999

NPI assigned

May 27, 2006

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

Other names 1

• Joanne Koravos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• SB Transitional Sub, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1962091173
  NPD (past)
• South Bay Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1023096864
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1114974128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WELLMAN AVE",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631360",
            "telephone_number": "978-514-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WELLMAN AVE",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631360",
            "telephone_number": "978-514-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTINO",
        "first_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "KORAVOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Staffing Embassy Inc
• Stephanie M. Oliva MD PC
• Stony Brook Primary Care LLC
• June M Stott, ARNP
• Laurence E Sweeney, R.PH.
• Kurt Tautenhan
• Brittany Tavano, OTR/L
• Tendernest Behavioral Group, LLC
• Julia Amanda Terzin, PA
• John W Thompson, MSW

• Clinical Social Worker in North Chelmsford, MA
• Providers in North Chelmsford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.