Tara Christine Dean

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.0031004 Issued in OH

Practice address

950 Meadow Dr Ste a
Mount Gilead, OH 43338-1389

Phone

(419) 564-2299

NPI assigned

Nov 20, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1346754827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8021 STATE ROUTE 314",
            "city": "LEXINGTON",
            "state": "OH",
            "postal_code": "449049686",
            "telephone_number": "419-564-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MEADOW DR STE A",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381389",
            "telephone_number": "419-564-2299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 Scholl Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449071571",
            "country_code": "US",
            "telephone_number": "419-756-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "TARA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0031004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0297925",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazmine Cornell
• Michael Dewayne Cox, RPH, MBA
• Peggy Marie Craig, RN
• Mindy Crowe, CDCA
• Samantha Jean Davidson, LSW
• Emily Dechellis
• Holly Deckling, LISW-S
• Donna Defilippo, D.O.
• Lori J Depinet-Spears, LISW, LICDC
• Tara Detillion

• Social Worker in Mount Gilead, OH
• Providers in Mount Gilead, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.