Tara Incopero PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018682 Issued in IL

Legal business name

TARA INCOPERO PC

Practice address

381 N York St
Suite 18
Elmhurst, IL 60126-2342

Phone

(630) 796-4367

NPI assigned

Mar 6, 2017

Organization subpart

No

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

Authorized official

Name

Tara Incopero, LCSW

Title

President

Phone

(630) 849-7042

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1457891707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 N YORK ST",
            "address_2": "SUITE 18",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262342",
            "telephone_number": "630-796-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 N YORK ST",
            "address_2": "SUITE 18",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262342",
            "telephone_number": "630-796-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA INCOPERO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "INCOPERO",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-849-7042",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sana Khan Syed, D.O.
• Kelly Synowiec-Moroney
• Paul P Szorc, OD
• Courtney Szostak
• Erika Janina Tapia
• Stephanie Tate, DPT
• Gayle Susan Tauchen, LCSW
• Azam Tayyebi, APN-CNP
• Katie Tebrugge, MS CCC SLP
• David Tella I, MD

• Clinical Social Worker in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.