Active NPI
Tara Lynn Cupit, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1689320426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW020980
- Practice address
- 220 W Chelten Ave
Philadelphia, PA 19144-3803 - Phone
- (215) 310-7022
- Fax
- (267) 281-1744
- NPI assigned
- Mar 1, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW020980 | PA | Primary |
Addresses
Primary practice location
220 W Chelten Ave
Philadelphia, PA 19144-3803
Mailing address
220 W Chelten Ave
Philadelphia, PA 19144-3803
Phone (215) 310-7022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 W Chelten Ave
Philadelphia, PA 19144-3803
Phone (215) 310-7022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh - PA Physicians Group, PC | Clinical | Current | Accepting new patients |
Locations
3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484
220 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 310-7022
Organizations & group practices 1
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": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1689320426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W CHELTEN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191443803",
"telephone_number": "215-310-7022",
"fax_number": "267-281-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 W CHELTEN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191443803",
"telephone_number": "215-310-7022",
"fax_number": "267-281-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUPIT",
"first_name": "TARA",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-01",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW020980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.