Active NPI
Tara Celletti, LAICSW
- Clinical Social Worker
- Gig Harbor, WA
National Provider Identifier
1346815420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC61177679
- Practice address
- 6625 Wagner Way Ste 320
Gig Harbor, WA 98335-8392 - Phone
- (253) 858-7056
- NPI assigned
- May 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC61177679 | WA | Primary |
Addresses
Primary practice location
6625 Wagner Way Ste 320
Gig Harbor, WA 98335-8392
Mailing address
5910 51St Street CT W
University Place, WA 98467-4119
Phone (760) 391-2628
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
| License | State | Type | Specialty |
|---|---|---|---|
| SC61177679 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1346815420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5910 51ST STREET CT W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984674119",
"telephone_number": "760-391-2628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6625 WAGNER WAY STE 320",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983358392",
"telephone_number": "253-858-7056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELLETTI",
"first_name": "TARA",
"credential": "LAICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC61177679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
- Shelby Carpenter
- Gabrielle Carter, ND
- Veronica Cartwright
- Olivia Leeann Casey, LMP
- Jesus Vicente Casino, M.D.
- Sidney Byron Paroni Ceniza, M.D.
- Center for Minimally Invasive Surgery PLLC
- Center for Treatment of Snoring and Sleep Apnea
- Chad Smart DDS and Vincent O Kokich Jr DMD MSD PLLC
- Chad Smart DDS and Vincent O Kokich Jr DMD MSD PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.