Tara McCoy
Individual provider Active NPI Clinical Social Worker · Albany, NY
NPI 1124662986 · NPPES record last updated Nov 28, 2025
Key facts
- NPI
- 1124662986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 103264 (NY)
- Practice address
- 1475 Western Ave Ste 33
Albany, NY 12203-3520 - Phone
- (518) 992-5227
- NPI assigned
- Nov 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103264 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Therapy Place LCSW PLLC | Clinical | Current |
Accepting new patients |
Locations
1475 Western Ave
Ste 33
Albany, NY 12203
Phone (518) 992-5227
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 103264 | NY | Yes |
Addresses
Primary practice location
1475 Western Ave Ste 33
Albany, NY 12203-3520
Mailing address
10 Sage Hill LN
Menands, NY 12204-1305
Phone (518) 331-5296
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103264 | Medicaid | NY |
Other providers in Albany, NY
- Joshua Michael McCormick
- Megan McCormick
- Rachael M McCormick
- Terra Marie McCormick
- Michelle McCoy
- McCrea Mental Health Counseling PLLC
- Susan McCreary
- Andrew Richard McCullough
- Mason McDermott
- Roshelle McDermott
All providers in Albany, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.