Active NPI
Tara Lehan, LMSW
- Social Worker
- Queensbury, NY
National Provider Identifier
1609320191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 079830-1
- Practice address
- 133 Aviation Rd
Queensbury, NY 12804-8206 - Phone
- (518) 832-6145
- NPI assigned
- Aug 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 079830-1 | NY | Primary |
Addresses
Primary practice location
133 Aviation Rd
Queensbury, NY 12804-8206
Mailing address
4357 Route 9N
Porter Corners, NY 12859-1726
Phone (518) 321-4530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079830-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1609320191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4357 ROUTE 9N",
"city": "PORTER CORNERS",
"state": "NY",
"postal_code": "128591726",
"telephone_number": "518-321-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 AVIATION RD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128048206",
"telephone_number": "518-832-6145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEHAN",
"first_name": "TARA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-12",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "079830-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.