Tara Elizabeth Griswold, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SCO5233700 Issued in NJ

Practice address

97 Mount Hebron Rd
Montclair, NJ 07043-1505

Phone

(973) 886-6178

Fax

(738) 866-1789

NPI assigned

Aug 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1376736413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 MOUNT HEBRON RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431505",
            "telephone_number": "973-886-6178",
            "fax_number": "973-886-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 MOUNT HEBRON RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431505",
            "telephone_number": "973-886-6178",
            "fax_number": "738-866-1789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Mount Hebron Rd",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070431505",
            "country_code": "US",
            "telephone_number": "973-886-6178",
            "fax_number": "973-886-6178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRISWOLD",
        "first_name": "TARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SCO5233700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.