Active NPI
Tara K Lee, LMSW
- School Social Worker
- Bayport, NY
National Provider Identifier
1174046015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 098735
- Practice address
- 112 Barrett Ave
Bayport, NY 11705-1416 - Phone
- (631) 882-6451
- NPI assigned
- Jul 23, 2017
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 098735 | NY | Primary |
Addresses
Primary practice location
112 Barrett Ave
Bayport, NY 11705-1416
Mailing address
112 Barrett Ave
Bayport, NY 11705-1416
Phone (631) 882-6451
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 |
|---|---|---|---|
| 098735 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1174046015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 BARRETT AVE",
"city": "BAYPORT",
"state": "NY",
"postal_code": "117051416",
"telephone_number": "631-882-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 BARRETT AVE",
"city": "BAYPORT",
"state": "NY",
"postal_code": "117051416",
"telephone_number": "631-882-6451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TARA",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "098735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.