Active NPI
Tara Kelly, LMHC
- Social Worker
- Walpole, MA
National Provider Identifier
1437103207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5541
- Practice address
- 95 West Street
Walpole, MA 02081 - Phone
- (508) 660-1570
- Fax
- (500) 660-3122
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5541 | MA | Primary |
Addresses
Primary practice location
95 West Street
Walpole, MA 02081
Mailing address
122 Taylor Ave
Dedham, MA 02026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5541 | Other | LICENSE |
Other names 1
- Tara Bisceglia
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 |
|---|---|---|---|
| 5541 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1437103207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 TAYLOR AVE",
"city": "DEDHAM",
"state": "MA",
"postal_code": "02026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 WEST STREET",
"city": "WALPOLE",
"state": "MA",
"postal_code": "02081",
"telephone_number": "508-660-1570",
"fax_number": "500-660-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "TARA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "5541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "5541",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "BISCEGLIA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Walpole, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.