Individual provider Active NPI

Tara Lassi, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1891623021
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25982 Issued in FL
Practice address
8540 Homeplace Dr Apt 1451
Jacksonville, FL 32256-1934
Phone
(863) 944-9959
NPI assigned
May 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 25982 FL Primary

Addresses

Primary practice location

8540 Homeplace Dr Apt 1451
Jacksonville, FL 32256-1934

Mailing address

2033 High Vista Dr
Lakeland, FL 33813-3074
Phone (863) 944-9959

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

LicenseStateTypeSpecialty
25982FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1778284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1891623021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 HIGH VISTA DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133074",
            "telephone_number": "863-944-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 HOMEPLACE DR APT 1451",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561934",
            "telephone_number": "863-944-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSI",
        "first_name": "TARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-09",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "25982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; 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.