Individual provider Active NPI

Tara Starin-Basi, LCSW-R

  • Clinical Social Worker
  • Long Island City, NY
National Provider Identifier
1225474471
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084694 Issued in NY
Practice address
5-31 50TH Ave
Long Island City, NY 11101-6297
Phone
(917) 397-0291
NPI assigned
May 15, 2013
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15273 CT
Clinical Social Worker 1041C0700X 089.0136537TELE VT
Clinical Social Worker 1041C0700X I.2405770 OH
Clinical Social Worker 1041C0700X 084694 NY Primary

Addresses

Primary practice location

5-31 50TH Ave
Long Island City, NY 11101-6297

Mailing address

5-31 50TH Ave
Long Island City, NY 11101
Phone (917) 397-0291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20161024002051 NY Practitioner - Clinical Social Worker 8325326499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084694NYMDSocial Worker
15273CTMDClinical Social Worker
I.2405770OHMDClinical Social Worker
089.0136537TELEVTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SB Therapy, LCSW PLLC Clinical Current Accepting new patients

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": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1225474471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5-31 50TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "11101",
            "telephone_number": "917-397-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5-31 50TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016297",
            "telephone_number": "917-397-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARIN-BASI",
        "first_name": "TARA",
        "name_prefix": "Miss",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "15273",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0136537TELE",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405770",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.