Tara Mrotek

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW93910 Issued in CA

Practice address

7600 E. Graves Ave
Rosemead, CA 91770-3414

Phone

(626) 280-6510

Fax

(626) 288-8903

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1487184164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 E. GRAVES AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703414",
            "telephone_number": "626-280-6510",
            "fax_number": "626-280-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 E. GRAVES AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703414",
            "telephone_number": "626-280-6510",
            "fax_number": "626-288-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROTEK",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "77822",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW93910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Moorer
• Priscilla Moreno
• Sarahjoy Moreno, NP
• Roy Yasuo Morita, PHARMD
• Eric Felipe Moya, ED.S.
• Yesenia Mujica
• Erica Muniz Chacon
• Mylinh Trinh MD Inc
• Mai Nakajima
• Kevin Michio Nakatani, M.S.

• Clinical Social Worker in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.