Individual provider Active NPI

Tara N Parent, LCSW

  • Clinical Social Worker
  • Artesia, NM
National Provider Identifier
1356657761
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-09084 Issued in NM
Practice address
1105 Memorial Dr
Artesia, NM 88210-1189
Phone
(575) 746-9848
Fax
(575) 746-9840
NPI assigned
Aug 23, 2010
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-09084 NM Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

1105 Memorial Dr
Artesia, NM 88210-1189

Mailing address

1700 W Main St
Ste A2
Artesia, NM 88210-3711
Phone (575) 746-8890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170308001550 GA Practitioner - Clinical Social Worker 9638453749 Reassigns benefits to 1 organization
I20191210000161 NM Practitioner - Clinical Social Worker 9638453749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Soul of NM, IncGroup PAC ID 4587052873, 19 clinicians

Practice addresses (Care Compare)

1300 E River Rd
Apt B
Belen, NM 87002-7426
Phone (505) 312-0040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-09084NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Oct 28, 2019 Accepting new patients
Americanwork, LLC CurrentSince Apr 6, 2018 Accepting new patients
Presbyterian Medical Services CurrentSince Oct 28, 2019 Accepting new patients
Americanwork, LLC CurrentSince Apr 6, 2018 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Heart & Soul of NM, Inc Clinical CurrentSince Nov 1, 2024 Accepting new patients

Locations

1727 Wrightsboro Rd
Ste B
Augusta, GA 30904
Phone (706) 736-8170

421 12th St
Columbus, GA 31901
Phone (706) 494-7776

836 E 65th St
Ste 42
Savannah, GA 31405
Phone (912) 354-5780

1105 Memorial Dr
Artesia, NM 88210
Phone (505) 746-9848

838 W Didier Ave
Belen, NM 87002
Phone (505) 312-0040

914 N Canal St
Carlsbad, NM 88220
Phone (575) 885-4836

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Organizations & group practices 6

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": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1356657761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W MAIN ST",
            "address_2": "STE A2",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882103711",
            "telephone_number": "575-746-8890",
            "fax_number": "575-887-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MEMORIAL DR",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101189",
            "telephone_number": "575-746-9848",
            "fax_number": "575-746-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARENT",
        "first_name": "TARA",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09084",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

Verify at the official NPI Registry.