Tara Marie Clonan-Prockter, LCSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R069561-1 Issued in NY

Practice address

1983 Route 52
Suite 6
Hopewell Junction, NY 12533-3513

Phone

(845) 264-2511

Fax

(845) 896-2215

NPI assigned

Sep 11, 2008

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

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": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1841449139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 ROUTE 52",
            "address_2": "SUITE 6",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333513",
            "telephone_number": "845-264-2511",
            "fax_number": "845-896-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 ROUTE 52",
            "address_2": "SUITE 6",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333513",
            "telephone_number": "845-264-2511",
            "fax_number": "845-896-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLONAN-PROCKTER",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "credential": "LCSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R069561-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Hopewell Junction, NY
• Providers in Hopewell Junction, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.