Active NPI
Tara McCoy
- Clinical Social Worker
- Albany, NY
National Provider Identifier
1124662986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 103264
- Practice address
- 1475 Western Ave Ste 33
Albany, NY 12203-3520 - Phone
- (518) 992-5227
- NPI assigned
- Nov 4, 2019
- Last updated
- Nov 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 103264 | NY | Primary |
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
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
| 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
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764288000000",
"number": "1124662986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SAGE HILL LN",
"city": "MENANDS",
"state": "NY",
"postal_code": "122041305",
"telephone_number": "518-331-5296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 WESTERN AVE STE 33",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033520",
"telephone_number": "518-992-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "TARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2025-11-28",
"certification_date": "2025-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "103264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.