Individual provider Active NPI

Tara Marilyn Pierce, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1588063119
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083509-1 Issued in NY
Practice address
95 Allens Creek Rd
Executive Square, BLDG 2, Suite 326
Rochester, NY 14618-3250
Phone
(315) 521-1093
NPI assigned
Aug 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 083509-1 NY Primary

Addresses

Primary practice location

95 Allens Creek Rd
Executive Square, BLDG 2, Suite 326
Rochester, NY 14618-3250

Mailing address

95 Allens Creek Rd
Executive Square, BLDG 2, Suite 326
Rochester, NY 14618-3250
Phone (315) 521-1093

Other practice location 1

441 East Ave Ste 3
Rochester, NY 14607-1932
Phone (585) 461-0110

Other names 1

  • Mrs. Tara Pierce Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160429001186 NY Practitioner - Clinical Social Worker 8022317866 Reassigns benefits to 1 organization
Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
083509-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Mar 3, 2025 Accepting new patients
Rochester General Hospital CurrentSince Mar 3, 2025 Accepting new patients

Locations

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1588063119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ALLENS CREEK RD",
            "address_2": "EXECUTIVE SQUARE, BLDG 2, SUITE 326",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183250",
            "telephone_number": "315-521-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ALLENS CREEK RD",
            "address_2": "EXECUTIVE SQUARE, BLDG 2, SUITE 326",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183250",
            "telephone_number": "315-521-1093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 East Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146071932",
            "country_code": "US",
            "telephone_number": "585-461-0110",
            "fax_number": "585-461-9658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "TARA",
        "middle_name": "MARILYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083509-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "PIERCE",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.