Active NPI
Tara Tzipora Green
- Clinical Social Worker
- Boca Raton, FL
National Provider Identifier
1407080690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW23119
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05320500 | NJ | MD | Professional Counselor |
| SW23119 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tara Green, LCSW | Professional | Current | 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.
-
- Professional Counselor
- Boca Raton, FL
- NPI 1538752068
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.