Tara Larkin-Fredericks, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

071728 Issued in NY

Practice address

10 Bluebell LN
Northport, NY 11768-3404

Phone

(518) 588-7525

NPI assigned

Jan 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/77c2b089-5ae8-473f-98a4-de9173e168aa/

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.

• Association for Mental Health and Wellness Inc

  • Community/Behavioral Health Agency
  • Ronkonkoma, NY
  • NPI 1578516738
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1245417005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BLUEBELL LN",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683404",
            "telephone_number": "518-588-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BLUEBELL LN",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683404",
            "telephone_number": "518-588-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN-FREDERICKS",
        "first_name": "TARA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "071728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Langdon, PHD
• Mili Langi
• Gina Marie Langiulli, RD
• Jannette Lanigan, LMT
• Monica Marie Lanning, MS ED, CRC
• Jennifer Ann Larson, LMSW
• Cesar Arnold Lau-Cam, PHARM.D.
• Barbara Lau, OTR/L
• Heather Lauletta, LCSW
• Lauren Lavoie

• Social Worker in Northport, NY
• Providers in Northport, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.