Tara Lee Karczewski-Mitchell, LMSW-CC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC15928 Issued in ME

Practice address

10 Caldwell Rd
Augusta, ME 04330-5735

Phone

(207) 626-3448

Fax

(207) 621-6228

NPI assigned

Dec 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tara Karczewski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1346648169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 RIVERSIDE DRIVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305735",
            "telephone_number": "207-622-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALDWELL RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305735",
            "telephone_number": "207-626-3448",
            "fax_number": "207-621-6228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "776 Riverside Drive",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043305735",
            "country_code": "US",
            "telephone_number": "207-622-5946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARCZEWSKI-MITCHELL",
        "first_name": "TARA",
        "middle_name": "LEE",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC14867",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC15928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "KARCZEWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Kang
• Xinlei Don Kang, OD
• Charles Edward Kanozak, DMD
• Erin Kany
• Caroline McKinney Karabeinikoff, LCSW
• Jonathan Karnes, MD
• Winona Karns, CADC, MHRT/C
• Jeannette Lisa Kassel, LCPC
• Lisa Esther Katz, L.C.S.W.
• Navdeep Kaur, M.D.

• Clinical Social Worker in Augusta, ME
• Providers in Augusta, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.