Individual provider Active NPI

Marni Erin Tartack, LCSW

  • Clinical Social Worker
  • Royal Palm Beach, FL
National Provider Identifier
1568339505
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW25616 Issued in FL
Practice address
9 Amherst CT Apt B
Royal Palm Beach, FL 33411-7917
Phone
(610) 550-9993
NPI assigned
Oct 23, 2025
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW25616 FL Primary
Clinical Social Worker 1041C0700X 089.0137135TELE VT
Clinical Social Worker 1041C0700X Q5-0000358 DE
Clinical Social Worker 1041C0700X 0904020719 VA
Clinical Social Worker 1041C0700X LC26117 ME
Clinical Social Worker 1041C0700X 8481815 ID
Clinical Social Worker 1041C0700X CSW09933500 CO
Clinical Social Worker 1041C0700X I.2608395 OH
Clinical Social Worker 1041C0700X TH00947661 WV
Clinical Social Worker 1041C0700X 140164 IA

Addresses

Primary practice location

9 Amherst CT Apt B
Royal Palm Beach, FL 33411-7917

Mailing address

9 Amherst CT Apt B
Royal Palm Beach, FL 33411-7917
Phone (561) 677-9909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260505003512 FL Practitioner - Clinical Social Worker 6709354004 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

535 Mack Ave
Kingsley, MI 49649-9220

66 E Flagler St
Miami, FL 33130-1807

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW09933500COMDClinical Social Worker
Q5-0000358DEMDClinical Social Worker
SW25616FLMDClinical Social Worker
140164IAMDClinical Social Worker
8481815IDMDClinical Social Worker
LC26117MEMDClinical Social Worker
I.2608395OHMDClinical Social Worker
0904020719VAMDClinical Social Worker
089.0137135TELEVTMDClinical Social Worker
TH00947661WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Therapeutic Services LLC Clinical PastSince Nov 7, 2025 Accepting new patients

Organizations & group practices 4

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": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1568339505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 AMHERST CT APT B",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117917",
            "telephone_number": "561-677-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 AMHERST CT APT B",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117917",
            "telephone_number": "610-550-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTACK",
        "first_name": "MARNI",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25616",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0137135TELE",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q5-0000358",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904020719",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC26117",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8481815",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09933500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2608395",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "TH00947661",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "140164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.