Tara Phillips-McAuliffe, LCSW-R

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

232 Commerce Park Dr Unit 502
Watertown, NY 13601-8521

Phone

(315) 533-2479

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2018 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grounded Soul Therapy LCSW PLLC

  • Clinical Social Worker
  • Watertown, NY
  • NPI 1952100539
  NPD Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1619037819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 COMMERCE PARK DR UNIT 502",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136018521",
            "telephone_number": "315-533-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 COMMERCE PARK DR UNIT 502",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136018521",
            "telephone_number": "315-533-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-MCAULIFFE",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Peters
• Jill Christine Peterson, DO
• Carl Anthony Petitto, OT/L
• Michael B Peyser, MD
• Sirina Phelps
• Andrea Lynn Phillips, M.A., CCC-SLP
• Lila Phillips
• Norma Phillips
• Erin Lee Phinney, NPP
• Physician to Women, PC

• Social Worker in Watertown, NY
• Providers in Watertown, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.