Individual provider Active NPI

Tara Hubrins-Lett, LISW-S

  • Clinical Social Worker
  • Independence, OH
National Provider Identifier
1730602764
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1801099 Issued in OH
Practice address
4401 Rockside Rd Ste 401
Independence, OH 44131-2147
Phone
(234) 334-3293
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OH
Clinical Social Worker 1041C0700X I1801099 OH Primary

Addresses

Primary practice location

4401 Rockside Rd Ste 401
Independence, OH 44131-2147

Mailing address

12 E Exchange St Ste 600
Akron, OH 44308-1519
Phone (234) 334-3293

Other identifiers 1

IdentifierTypeStateIssuer
0101663MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1801099OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Families First Health Services CurrentSince May 2, 2023 Accepting new patients

Locations

12 E Exchange St
Ste 600
Akron, OH 44308
Phone (234) 208-8074

4401 Rockside Rd
Ste 401
Independence, OH 44131
Phone (234) 334-3293

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1730602764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E EXCHANGE ST STE 600",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081519",
            "telephone_number": "234-334-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ROCKSIDE RD STE 401",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312147",
            "telephone_number": "234-334-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBRINS-LETT",
        "first_name": "TARA",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1801099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101663",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.