Tara Maloney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7090 Issued in OR

Practice address

203 SW 8TH St
Redmond, OR 97756-2117

Phone

(541) 279-7900

Fax

(541) 504-5805

NPI assigned

Nov 8, 2013

Last updated

Nov 8, 2016By the provider in NPPES

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

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Ann Martin Counseling Inc.

  • Clinical Social Worker
  • Redmond, OR
  • NPI 1033453626
  NPD (past)

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1710316849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SW 8TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562117",
            "telephone_number": "541-279-7900",
            "fax_number": "541-504-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SW 8TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562117",
            "telephone_number": "541-279-7900",
            "fax_number": "541-504-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "TARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "7090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Ray Main, PHARMD
• James Henry Majetich
• Isabel Makman, MD
• Tamatha Sue Makowsky
• Michael Patrick Mallin, M.D.
• Laura Mann, PT, DPT, OCS
• Mark S Keener DMD P.C.
• Ann L Martin, LCSW
• Levi Jeh Martin, PHARM.D.
• Penney Mathes, MS., CCC-SLP

• Clinical Social Worker in Redmond, OR
• Providers in Redmond, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.