Active NPI
Tara Lucille Benegas
- Clinical Social Worker
- Frederick, CO
National Provider Identifier
1811615610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0000000944
- Practice address
- 6113 Easton Cir
Frederick, CO 80504-5968 - Phone
- (720) 331-1095
- NPI assigned
- Aug 17, 2022
- Last updated
- Aug 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0000000944 | CO | Primary |
Addresses
Primary practice location
6113 Easton Cir
Frederick, CO 80504-5968
Mailing address
6113 Easton Cir
Frederick, CO 80504-5968
Phone (720) 331-1095
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000944 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1811615610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6113 EASTON CIR",
"city": "FREDERICK",
"state": "CO",
"postal_code": "805045968",
"telephone_number": "720-331-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6113 EASTON CIR",
"city": "FREDERICK",
"state": "CO",
"postal_code": "805045968",
"telephone_number": "720-331-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEGAS",
"first_name": "TARA",
"middle_name": "LUCILLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-17",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "0000000944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.