Individual provider Active NPI

Tara Ann Barnard, LICSW, MSW, SUDP

  • Clinical Social Worker
  • Everett, WA
National Provider Identifier
1376690040
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60296110 Issued in WA
Practice address
2326 Rucker Ave Ste 202
Everett, WA 98201-2723
Phone
(360) 516-2272
NPI assigned
Jan 4, 2007
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW60296110 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00006385 WA
Clinical Social Worker 1041C0700X LW60296110 WA Primary

Addresses

Primary practice location

2326 Rucker Ave Ste 202
Everett, WA 98201-2723

Mailing address

2326 Rucker Ave Ste 202
Everett, WA 98201-2723
Phone (360) 516-2272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200305002770 WA Practitioner - Clinical Social Worker 6305273285 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP00006385WAMDAddiction (Substance Use Disorder) Counselor
LW60296110WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Feb 4, 2020 Accepting new patients
Optum Care Washington PLLC CurrentSince Apr 12, 2021 Accepting new patients
Inner Peace Counseling and Healing Clinical CurrentSince Oct 21, 2025 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Feb 4, 2020 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Optum Care Washington PLLC CurrentSince Apr 12, 2021 Accepting new patients

Locations

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

2326 Rucker Ave
Ste 202
Everett, WA 98201
Phone (360) 516-2272

2930 Maple St
Everett, WA 98201
Phone (425) 261-1500

2335 172nd St NE
Marysville, WA 98271
Phone (360) 651-1550

2901 174th St NE
Marysville, WA 98271
Phone (360) 454-1900

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1376690040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 RUCKER AVE STE 202",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012723",
            "telephone_number": "360-516-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 RUCKER AVE STE 202",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012723",
            "telephone_number": "360-516-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNARD",
        "first_name": "TARA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LICSW, MSW, SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60296110",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00006385",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60296110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.