Active NPI
Tara J Stout
- Clinical Social Worker
- York, PA
National Provider Identifier
1831811306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW025700
- Practice address
- 1407 Williams Rd
York, PA 17402-9000 - Phone
- (717) 845-2482
- Fax
- (717) 843-2170
- NPI assigned
- Sep 13, 2022
- Last updated
- Mar 27, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW138639 | PA | |
| Clinical Social Worker | 1041C0700X | CW025700 | PA | Primary |
Addresses
Primary practice location
1407 Williams Rd
York, PA 17402-9000
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
125 Schneider Dr
Lebanon, PA 17046-4875
Phone (717) 270-2444
Other practice location 2
283 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 273-8871
Other practice location 3
1315 Old Forge Rd
Lebanon, PA 17046-7951
Phone (717) 273-8871
Other practice location 4
780 Eden Rd
Lancaster, PA 17601-4275
Phone (717) 735-7770
Other practice location 5
2124 Old Philadelphia Pike
Lancaster, PA 17602-3415
Phone (717) 676-7641
Other practice location 6
2501 Oregon Pike
Lancaster, PA 17601-4890
Phone (717) 735-1954
Other practice location 7
1000 S 8th St
Lebanon, PA 17042-6726
Phone (717) 874-9963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15716928 | Other | CAQH |
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 |
|---|---|---|---|
| SW138639 | PA | MD | Social Worker |
| CW025700 | PA | MD | Clinical Social Worker |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1831811306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 WILLIAMS RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029000",
"telephone_number": "717-845-2482",
"fax_number": "717-843-2170"
}
],
"practiceLocations": [
{
"address_1": "125 Schneider Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170464875",
"country_code": "US",
"telephone_number": "717-270-2444",
"fax_number": "717-270-2472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "283 S Butler Rd",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170428939",
"country_code": "US",
"telephone_number": "717-273-8871",
"fax_number": "717-270-2472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1315 Old Forge Rd",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170467951",
"country_code": "US",
"telephone_number": "717-273-8871",
"fax_number": "717-270-2472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "780 Eden Rd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176014275",
"country_code": "US",
"telephone_number": "717-735-7770",
"fax_number": "717-270-2472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2124 Old Philadelphia Pike",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176023415",
"country_code": "US",
"telephone_number": "717-676-7641",
"fax_number": "717-270-2472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 Oregon Pike",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176014890",
"country_code": "US",
"telephone_number": "717-735-1954",
"fax_number": "717-270-2472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 S 8th St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170426726",
"country_code": "US",
"telephone_number": "717-874-9963",
"fax_number": "717-270-2472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOUT",
"first_name": "TARA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-13",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW138639",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW025700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15716928",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.