Individual provider Active NPI

Tara Jenkins, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1235737412
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW024456 Issued in PA
Practice address
1601 Walnut St Ste 1523
Philadelphia, PA 19102-2910
Phone
(267) 225-2065
NPI assigned
Oct 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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 CW024456 PA Primary

Addresses

Primary practice location

1601 Walnut St Ste 1523
Philadelphia, PA 19102-2910

Mailing address

2471 W Cheltenham Ave Ste D159
Wyncote, PA 19095-2959
Phone (267) 312-4581

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

LicenseStateTypeSpecialty
CW024456PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowering US Therapy LLC Mental Health CurrentSince Sep 14, 2025 Accepting new patients
Empowering US Therapy LLC Mental Health CurrentSince Sep 28, 2025 Accepting new patients

Locations

1601 Walnut St
Ste 1523
Philadelphia, PA 19102
Phone (267) 225-2065

2471 W Cheltenham Ave
Ste D159
Wyncote, PA 19095

Organizations & group practices 2

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": "1602374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1235737412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 W CHELTENHAM AVE STE D159",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952959",
            "telephone_number": "267-312-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST STE 1523",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022910",
            "telephone_number": "267-225-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-11",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.