Individual provider Active NPI

Tara Marie Harkins, LCSW

  • Clinical Social Worker
  • Oradell, NJ
National Provider Identifier
1245755040
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05894500 Issued in NJ
Practice address
550 Kinderkamack Rd Ste 126
Oradell, NJ 07649-1500
Phone
(201) 903-2466
NPI assigned
Aug 14, 2017
Last updated
Jan 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06303200 NJ
Clinical Social Worker 1041C0700X 44SC05894500 NJ Primary

Addresses

Primary practice location

550 Kinderkamack Rd Ste 126
Oradell, NJ 07649-1500

Mailing address

376 Oradell Ave
Oradell, NJ 07649-1729
Phone (917) 301-3479

Other practice location 1

114 Kinderkamack Rd
Park Ridge, NJ 07656-2126
Phone (201) 391-1355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20200323000060 NJ Practitioner - Clinical Social Worker 2769810936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

376 Oradell Ave
Oradell, NJ 07649-1729
Phone (201) 483-8693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06303200NJMDSocial Worker
44SC05894500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tara Harkins LLC Clinical CurrentSince Jan 27, 2020 Accepting new patients
Pascack Mental Health Center PastSince Jun 23, 2015 Accepting new patients

Locations

550 Kinderkamack Rd
Ste 126
Oradell, NJ 07649
Phone (201) 903-2466

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, 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": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1245755040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 ORADELL AVE",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491729",
            "telephone_number": "917-301-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 KINDERKAMACK RD STE 126",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491500",
            "telephone_number": "201-903-2466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Kinderkamack Rd",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "NJ",
            "postal_code": "076562126",
            "country_code": "US",
            "telephone_number": "201-391-1355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARKINS",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06303200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05894500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

Verify at the official NPI Registry.