Active NPI
Tara Pellegrino
- Clinical Social Worker
- Montclair, NJ
National Provider Identifier
1427803667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06472000
- Practice address
- 9 Lansing PL
Montclair, NJ 07043-1406 - Phone
- (973) 919-3925
- NPI assigned
- Apr 22, 2024
- Last updated
- Sep 24, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05033100 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC06472000 | NJ | Primary |
Addresses
Primary practice location
9 Lansing PL
Montclair, NJ 07043-1406
Mailing address
9 Lansing PL
Montclair, NJ 07043-1406
Other names 1
- Tara Chowaniec
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05033100 | NJ | MD | Social Worker |
| 44SC06472000 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tara Pellegrino LLC | Clinical | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1427803667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 LANSING PL",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 LANSING PL",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431406",
"telephone_number": "973-919-3925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLEGRINO",
"first_name": "TARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-22",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05033100",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06472000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "CHOWANIEC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.