Individual provider Active NPI

Tamara Badette, LMSW

  • Social Worker
  • Clarks Summit, PA
National Provider Identifier
1720856594
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
140998 Issued in PA
Practice address
406 N State St
Clarks Summit, PA 18411-1062
Phone
(570) 342-8434
Fax
(570) 319-5949
NPI assigned
Dec 12, 2023
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 140998 PA Primary

Addresses

Primary practice location

406 N State St
Clarks Summit, PA 18411-1062

Mailing address

1251 Wyoming Ave
Exeter, PA 18643-1434
Phone (570) 342-8434

Other practice location 1

505 Hunter Hwy Ste 2
Tunkhannock, PA 18657-8064
Phone (570) 575-2468

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
140998PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Health Services, LLC Social Worker CurrentSince Nov 24, 2024 Accepting new patients
Change of Heart Counseling and Consultation Services, Inc CurrentSince Dec 1, 2023 Accepting new patients
Tiffany Griffiths Psy D & Associates Inc Social Worker CurrentSince Nov 24, 2024 Accepting new patients
Amy M Clark LCSW & Associates LLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

406 N State St
Clarks Summit, PA 18411
Phone (570) 221-9319

1251 Wyoming Ave
Exeter, PA 18643
Phone (570) 307-9054

505 Hunter Hwy
Ste 2
Tunkhannock, PA 18657
Phone (570) 575-2468

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1720856594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 WYOMING AVE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431434",
            "telephone_number": "570-342-8434",
            "fax_number": "570-299-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111062",
            "telephone_number": "570-342-8434",
            "fax_number": "570-319-5949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Hunter Hwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "Tunkhannock",
            "state": "PA",
            "postal_code": "186578064",
            "country_code": "US",
            "telephone_number": "570-575-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADETTE",
        "first_name": "TAMARA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "140998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.