Tara Xenos

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149027041 Issued in IL

Practice address

501 Ella Ave
Joliet, IL 60433-2700

Phone

(815) 727-8521

NPI assigned

Oct 15, 2026

Last updated

Oct 15, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1386540508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ELLA AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332700",
            "telephone_number": "815-727-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ELLA AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332700",
            "telephone_number": "815-727-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XENOS",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149027041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph P. Wubben, CRNA
• Russell E Wudel, PA-C
• Wunderlich MD SC
• Andrew Warren Wunderlich, M.D.
• Ashley Wynne, RBT
• Y.M.Shahmdsc (primary care joliet)
• Oscar Guillermo Yanes, M.A.
• Ahyun Yang, LSW
• Nelia Yarbrough
• Yatin M Shah MD SC (primary care joliet)

• Clinical Social Worker in Joliet, IL
• Providers in Joliet, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.