Tara Julia Baysol, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC19570 Issued in ME

Practice address

9 Hunnewell Rd
Scarborough, ME 04074-9539

Phone

(207) 835-1334

NPI assigned

Mar 26, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Tara Julia Burgos Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2021.

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1821675737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HUNNEWELL RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749539",
            "telephone_number": "207-835-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HUNNEWELL RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749539",
            "telephone_number": "207-835-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYSOL",
        "first_name": "TARA",
        "middle_name": "JULIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC19570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "BURGOS",
            "middle_name": "JULIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Konrad N.M. Barth, MD
• Kathleen Ann Bartlett, LAC
• Virginia R Barton, MD
• Sarah Ann Basquez, AUD
• Justin Anthony Battaglini, MD
• Heather Beaulieu
• Colette Marie Beaumont, RNNP
• Suzanne Beesley, PHARM D
• John R Belden, M.D.
• Raymond Michael Belicose, PH.D.

• All providers in Scarborough, ME
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.