Individual provider Active NPI

Tara Tzipora Green

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1407080690
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23119 Issued in FL
Practice address
131 S Federal Hwy Apt 305
Boca Raton, FL 33432-4928
Phone
(973) 303-9484
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 44SL05320500 NJ
Clinical Social Worker 1041C0700X SW23119 FL Primary

Addresses

Primary practice location

131 S Federal Hwy Apt 305
Boca Raton, FL 33432-4928

Mailing address

131 S Federal Hwy Apt 305
Boca Raton, FL 33432-4928
Phone (973) 303-9484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05320500NJMDProfessional Counselor
SW23119FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tara Green, LCSW Professional CurrentSince Jul 9, 2025 Accepting new patients

Locations

125 Remount Rd
Ste C1
Charlotte, NC 28203
Phone (704) 284-7244

Organizations & group practices 1

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": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1407080690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S FEDERAL HWY APT 305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324928",
            "telephone_number": "973-303-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S FEDERAL HWY APT 305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324928",
            "telephone_number": "973-303-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TARA TZIPORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "44SL05320500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.