Tara Martin Haines, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118428 Issued in MA

Practice address

152 Northampton St
Easthampton, MA 01027-1020

Phone

(860) 539-2242

NPI assigned

Feb 12, 2016

Sex

Female

Sole proprietor

No

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 MA

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lotus Blossom Counseling LLC

  • Clinical Social Worker
  • Easthampton, MA
  • NPI 1528565454
  Medicare reassignment Authorized official
• Clinical & Support Options, Inc

  • Community/Behavioral Health Agency
  • Greenfield, MA
  • NPI 1831265115
  Medicare reassignment NPD
• Susan Gershwin Licsw LLC

  • Clinical Social Worker
  • Easthampton, MA
  • NPI 1649813825
  NPD (past)

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523145600000",
    "number": "1780043190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 UNDERWOOD AVE",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271251",
            "telephone_number": "860-539-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 NORTHAMPTON ST",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271020",
            "telephone_number": "860-539-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "TARA",
        "middle_name": "MARTIN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2018-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Lawrence Griffin, LCSW
• Aaron Grinstein, PA
• Jennifer Louise Griswold, LICSW
• Sally Lynn Gulmi, M.ED
• Carlos Eduardo Guzman, MSW, LICSW
• Hampshire Pediatrics, PC
• Stephanie R Hancock, FNP
• Nora E Hanke, M.B.,CHB
• Hannah S. Berenson, Licsw, Inc.
• Hannah Tosi Holistic Therapy

• Clinical Social Worker in Easthampton, MA
• Providers in Easthampton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2018; 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.

Verify at the official NPI Registry.