Tara Alexandra Wells, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18117 Issued in FL

Practice address

700 S Rosemary Ave Ste 204
West Palm Beach, FL 33401-6310

Phone

(561) 310-4703

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Finish Line Mindset LLC

  • Social Worker
  • Jupiter, FL
  • NPI 1548053812
  NPD Authorized official

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1437743317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S ROSEMARY AVE STE 204",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016310",
            "telephone_number": "561-310-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S ROSEMARY AVE STE 204",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016310",
            "telephone_number": "561-310-4703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5332 Lake Worth Rd",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334633354",
            "country_code": "US",
            "telephone_number": "561-649-6935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13330 Usf Laurel Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336126601",
            "country_code": "US",
            "telephone_number": "813-821-8038",
            "fax_number": "813-974-0483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "TARA",
        "middle_name": "ALEXANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "18117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116857300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellness Center of Palm Beach
• Wellness Center of Palm Beach Health
• Wellness Connect Services, LLC
• Wellness Depot Center FL LLC
• Catherine J Wells
• Tyler Gene Wells, CPO
• Wellscare Solutions, LLC
• Jeffrey Stuart Wenger, M.D.
• Mia Werksman
• Stacie Wertheim, RDN

• Clinical Social Worker in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.