Individual provider Active NPI

Tara Ann O'Shaughnessy, LCSW

  • Social Worker
  • Tarrytown, NY
National Provider Identifier
1215172176
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R067386-1 Issued in NY
Practice address
61 Spring St.
Tarrytown, NY 10591
Phone
(914) 495-4582
NPI assigned
Dec 8, 2008
Last updated
Dec 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R067386-1 NY Primary

Addresses

Primary practice location

61 Spring St.
Tarrytown, NY 10591

Mailing address

61 Spring Street
Tarrytown, NY 10591-5021
Phone (914) 524-9109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090609000116 NY Practitioner - Clinical Social Worker 7416007737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nysarc Inc Westchester County ChapterGroup PAC ID 1759272206, 9 clinicians

Practice addresses (Care Compare)

265 Saw Mill River Rd
FL 3
Hawthorne, NY 10532-1509
Phone (914) 495-4487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R067386-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc Westchester County Chapter CurrentSince May 1, 2009 Accepting new patients

Locations

265 Saw Mill River Rd
Fl 3
Hawthorne, NY 10532
Phone (914) 495-4487

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": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1215172176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SPRING STREET",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915021",
            "telephone_number": "914-524-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 SPRING ST.",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "10591",
            "telephone_number": "914-495-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHAUGHNESSY",
        "first_name": "TARA ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R067386-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.