Active NPI
Tara Lynn Smith, LSW
- Social Worker
- Teterboro, NJ
National Provider Identifier
1881258499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06473600
- Practice address
- 200 North Street
Teterboro, NJ 07608 - Phone
- (201) 494-6570
- NPI assigned
- Apr 29, 2019
- Last updated
- Jul 18, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06473600 | NJ | Primary |
Addresses
Primary practice location
200 North Street
Teterboro, NJ 07608
Mailing address
63 Oakwood VLG Apt 8
Flanders, NJ 07836-8929
Phone (973) 886-6562
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 |
|---|---|---|---|
| 44SL06473600 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1881258499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 OAKWOOD VLG APT 8",
"city": "FLANDERS",
"state": "NJ",
"postal_code": "078368929",
"telephone_number": "973-886-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NORTH STREET",
"city": "TETERBORO",
"state": "NJ",
"postal_code": "07608",
"telephone_number": "201-494-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TARA",
"middle_name": "LYNN",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2024-07-18",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06473600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teterboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.