Individual provider Active NPI

Tara Janine Holland, LCSW-C

  • Clinical Social Worker
  • New Market, MD
National Provider Identifier
1447922976
Registry record updated Oct 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11990 Issued in MD
Practice address
10224 Nuthatch Drive
New Market, MD 21774
Phone
(301) 275-1107
NPI assigned
Oct 3, 2021
Last updated
Oct 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11990 MD Primary

Addresses

Primary practice location

10224 Nuthatch Drive
New Market, MD 21774

Mailing address

10224 Nuthatch Drive
New Market, MD 21774
Phone (301) 275-1107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, IA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240110001099 MD Practitioner - Clinical Social Worker 9931550381 Reassigns benefits to 2 organizations
I20240717000204 DC Practitioner - Clinical Social Worker 9931550381 Reassigns benefits to 2 organizations
I20250731000309 IA Practitioner - Clinical Social Worker 9931550381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

10224 Nuthatch Dr
New Market, MD 21774-6549
Phone (301) 275-1107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jun 15, 2024 Accepting new patients
Talkspace Provider Network PA CurrentSince Dec 1, 2023 Accepting new patients
Brightside Medical, P.C. CurrentSince Feb 1, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5835 York Rd
Baltimore, MD 21212
Phone (443) 877-5308

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

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": "1633219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633219200000",
    "number": "1447922976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10224 NUTHATCH DRIVE",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "21774",
            "telephone_number": "301-275-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10224 NUTHATCH DRIVE",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "21774",
            "telephone_number": "301-275-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "TARA",
        "middle_name": "JANINE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-03",
        "last_updated": "2021-10-03",
        "certification_date": "2021-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Market, MD

Sources for this page

Verify at the official NPI Registry.