Individual provider Active NPI

Tarra A Collins, LSW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1376709071
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S0028170 Issued in OH
Practice address
3025 W Broad St
Columbus, OH 43204-2653
Phone
(614) 267-7003
NPI assigned
Aug 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S0028170 OH Primary

Addresses

Primary practice location

3025 W Broad St
Columbus, OH 43204-2653

Mailing address

1495 Morse Rd Ste B3
Columbus, OH 43229-6434
Phone (614) 267-7003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250602002456 OH Practitioner - Clinical Social Worker 2567971591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Columbus Womens Wellness LLCGroup PAC ID 1254608433, 22 clinicians

Practice addresses (Care Compare)

4625 Morse Rd
Suite 200
Gahanna, OH 43230-8355
Phone (614) 383-8381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S0028170OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Women'S Wellness, LLC CurrentSince May 20, 2025 Accepting new patients
North Community Counseling Centers Inc PastSince Nov 1, 1999 Accepting new patients

Locations

2929 Kenny Rd
Ste 150
Columbus, OH 43221
Phone (614) 488-8000

4625 Morse Rd
Ste 200
Gahanna, OH 43230
Phone (614) 383-8381

1460 Manning Pkwy
Powell, OH 43065
Phone (614) 383-8381

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/northcommunity/r4/

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1376709071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 MORSE RD STE B3",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296434",
            "telephone_number": "614-267-7003",
            "fax_number": "614-267-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042653",
            "telephone_number": "614-267-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TARRA",
        "middle_name": "A",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S0028170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.