Individual provider Active NPI

Tara Hanson, LICSW

  • Clinical Social Worker
  • Newbury, MA
National Provider Identifier
1376704023
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120393 Issued in MA
Practice address
28 Green St
Newbury, MA 01951-1721
Phone
(772) 579-9052
NPI assigned
Jun 24, 2008
Last updated
Oct 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ISW4552 FL
Clinical Social Worker 1041C0700X 120393 MA Primary

Addresses

Primary practice location

28 Green St
Newbury, MA 01951-1721

Mailing address

8 Acadia Kimball Rd
Amesbury, MA 01913-2105
Phone (772) 579-9052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20170815003236 MA Practitioner - Clinical Social Worker 6103198890 Reassigns benefits to 1 organization
Practice locations: Newbury, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

28 Green St
Newbury, MA 01951-1721
Phone (772) 579-9052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW4552FLMDSocial Worker
120393MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Taras Counseling Practice Clinical CurrentSince May 13, 2022 Accepting new patients
Buck H Woo PHD LLC PastSince Feb 18, 2018 Accepting new patients

Locations

28 Green St
Newbury, MA 01951
Phone (978) 463-0463

Organizations & group practices 2

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1376704023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ACADIA KIMBALL RD",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132105",
            "telephone_number": "772-579-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GREEN ST",
            "city": "NEWBURY",
            "state": "MA",
            "postal_code": "019511721",
            "telephone_number": "772-579-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "TARA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW4552",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury, MA

Sources for this page

Verify at the official NPI Registry.