Active NPI
Tara Ann Muglia, L.C.S.W.
- Clinical Social Worker
- Staten Island, NY
National Provider Identifier
1164649570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 077025-1
- Practice address
- 1492 Richmond Rd
Staten Island, NY 10304-2319 - Phone
- (917) 770-9757
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 071069-1 | NY | |
| Clinical Social Worker | 1041C0700X | 077025-1 | NY | Primary |
Addresses
Primary practice location
1492 Richmond Rd
Staten Island, NY 10304-2319
Mailing address
426 N Railroad Ave
Staten Island, NY 10304-4145
Phone (718) 370-2084
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071069-1 | NY | MD | Clinical Social Worker |
| 077025-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1164649570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 N RAILROAD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044145",
"telephone_number": "718-370-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1492 RICHMOND RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103042319",
"telephone_number": "917-770-9757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUGLIA",
"first_name": "TARA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "071069-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "077025-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.