Tara Judith Claudio-Rivera

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C015419 Issued in NC

Practice address

250 Executive Park Blvd Ste 120
Winston Salem, NC 27103-1534

Phone

(336) 608-4037

Fax

(336) 893-0569

NPI assigned

Dec 13, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• LSBF Professional Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1497453187

  Clinical

  NPD (past)

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1801217070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EXECUTIVE PARK BLVD STE 120",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031534",
            "telephone_number": "336-608-4037",
            "fax_number": "336-893-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EXECUTIVE PARK BLVD STE 120",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031534",
            "telephone_number": "336-608-4037",
            "fax_number": "336-893-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUDIO-RIVERA",
        "first_name": "TARA",
        "middle_name": "JUDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip C Clarke, MS, EDS, NCC, LPC
• Susan Clarke, MB BCH, MSC
• Faith Clary, OT
• Meredith Marie Clary, M.D.
• Adrienne Charles Classen, M.D.
• Betsy H Clauser
• Gwendolyn Mary Clay, MD
• Bessie Alycee Clayton, LCASA, LPCA
• Jared Clayton, LCAS-A
• Lisa Biltz Clayton, CRNA

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.