Active NPI
Tara Waltman, LICSW
- Clinical Social Worker
- Lancaster, PA
National Provider Identifier
1356637151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19291
- Practice address
- 812 N Prince St
Lancaster, PA 17603-2732 - Phone
- (612) 709-1042
- NPI assigned
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 19291 | MN | Primary |
Addresses
Primary practice location
812 N Prince St
Lancaster, PA 17603-2732
Mailing address
812 N Prince St
Lancaster, PA 17603-2732
Phone (612) 709-1042
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | twaltman@wellspan.org |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1356637151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 N PRINCE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032732",
"telephone_number": "612-709-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 N PRINCE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032732",
"telephone_number": "612-709-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTMAN",
"first_name": "TARA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "19291",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "twaltman@wellspan.org",
"affiliation": "N",
"address_1": "812 N Prince St",
"city": "Lancaster",
"state": "PA",
"country_code": "US",
"postal_code": "176032732",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.