Active NPI
Tara Consolino, DSW, MSW, LMSW
- Clinical Social Worker
- Farmington Hills, MI
National Provider Identifier
1891959375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801085670
- Practice address
- 38215 Lana Dr
Farmington Hills, MI 48335-2748 - Phone
- (347) 564-8876
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801085670 | MI | Primary |
Addresses
Primary practice location
38215 Lana Dr
Farmington Hills, MI 48335-2748
Mailing address
38215 Lana Dr
Farmington Hills, MI 48335-2748
Phone (347) 564-8876
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891959375 | Other | MI | NPI 1 |
| 1124701404 | Other | MI | NPI 2 |
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 |
|---|---|---|---|
| 6801085670 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darkling Psychotherapeutic Services, PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Farmington Hills, MI
- NPI 1124701404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727568000000",
"number": "1891959375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38215 LANA DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483352748",
"telephone_number": "347-564-8876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38215 LANA DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483352748",
"telephone_number": "347-564-8876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSOLINO",
"first_name": "TARA",
"name_prefix": "Dr.",
"credential": "DSW, MSW, LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2024-09-29",
"certification_date": "2024-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801085670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 1",
"identifier": "1891959375",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 2",
"identifier": "1124701404",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.