Tara Marcella

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61433330 Issued in WA

Practice address

1404 E. 11TH Ave
Spokane, WA 99202

Phone

(509) 638-3390

NPI assigned

Oct 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pathway to Wellness, PLLC

  • Social Worker
  • Spokane, WA
  • NPI 1609795509
  NPD (past) Authorized official

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1407499080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 E. 11TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992026319",
            "telephone_number": "509-638-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E. 11TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99202",
            "telephone_number": "509-638-3390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12201 E 37th ct",
            "address_purpose": "LOCATION",
            "city": "Spokane vly",
            "state": "WA",
            "postal_code": "99206",
            "country_code": "US",
            "telephone_number": "509-638-3390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCELLA",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61433330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maple Clinic, P. S.
• Jessica Maple
• Maplecare Adult Family Home LLC
• Megan Marama, LMHCA
• Rylee Joleen Marboe, DNP, ARNP, FNP-BC
• Christine Ann Marcellus, DVM
• Justin Charles Marchand, RN
• Tasha K Marchand, ARNP
• Gina Louise Marchello, SUDPT
• Kendal Marchese

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.