Individual provider Active NPI

Tara B Altman

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1205099272
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2202 N West Shore Blvd Ste 140
Tampa, FL 33607-5759
Phone
(727) 366-3876
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2202 N West Shore Blvd Ste 140
Tampa, FL 33607-5759

Mailing address

1763 Main St Apt 123F
Dunedin, FL 34698-6407
Phone (727) 366-3876

Other practice location 1

3830 Tampa Rd Ste 300
Palm Harbor, FL 34684-3605
Phone (727) 366-3876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160401000811 FL Practitioner - Clinical Social Worker 1557668787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bradenton Counseling Center IncGroup PAC ID 7012199565, 8 clinicians

Practice addresses (Care Compare)

5131 Manatee Ave W
Bradenton, FL 34209-3740
Phone (941) 792-0802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bradenton Counseling Center, Inc. Clinical CurrentSince Jan 1, 2019 Accepting new patients

Locations

5131 Manatee Ave W
Bradenton, FL 34209
Phone (941) 792-0802

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1205099272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 MAIN ST APT 123F",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986407",
            "telephone_number": "727-366-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N WEST SHORE BLVD STE 140",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075759",
            "telephone_number": "727-366-3876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3830 Tampa Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346843605",
            "country_code": "US",
            "telephone_number": "727-366-3876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "TARA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.