Tara M Pierce, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1101242 Issued in OH

Practice address

19660 S Sagamore Rd
Fairview Park, OH 44126-1655

Phone

(216) 832-1117

NPI assigned

Mar 10, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1467153189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19660 S SAGAMORE RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261655",
            "telephone_number": "216-832-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19660 S SAGAMORE RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261655",
            "telephone_number": "216-832-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "TARA",
        "middle_name": "M",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1101242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Peters
• Chelsea Peticca, LPC
• Mark Petro, D.C.
• Phyt for Function Cleveland West
• Amanda Lynn Pierce
• Jennifer Kathleen Pineiro, CNP
• Shawn Pischel, LMT
• Platinum Health and Wellness LLC
• Mark J Pompeani, DDS
• Jessica Rose Potraz, OTR/L

• Clinical Social Worker in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.