Individual provider Active NPI

Tarah Allen Comer, LCSW

  • Clinical Social Worker
  • Chesterfield, VA
National Provider Identifier
1659620235
Registry record updated Mar 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006114 Issued in VA
Practice address
10109 Krause Rd
Suite 100
Chesterfield, VA 23832-6501
Phone
(804) 751-8644
NPI assigned
Aug 29, 2012
Last updated
Mar 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2013

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 0904006114 VA Primary

Addresses

Primary practice location

10109 Krause Rd
Suite 100
Chesterfield, VA 23832-6501

Mailing address

10109 Krause Rd
Suite 100
Chesterfield, VA 23832-6501
Phone (804) 751-8644

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

LicenseStateTypeSpecialty
0904006114VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363392000000",
    "number": "1659620235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 KRAUSE RD",
            "address_2": "SUITE 100",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326501",
            "telephone_number": "804-751-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 KRAUSE RD",
            "address_2": "SUITE 100",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326501",
            "telephone_number": "804-751-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMER",
        "first_name": "TARAH",
        "middle_name": "ALLEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2013-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2013; 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.