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

Last updated

Mar 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tara Julia Burgos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "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.

• Clinical Social Worker in Scarborough, ME
• Providers in Scarborough, ME by specialty
• 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.