Tara Defelice, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW141378 Issued in PA

Practice address

301 Meade St
Pittsburgh, PA 15221-2131

Phone

(412) 436-0405

NPI assigned

Apr 17, 2024

Last updated

Apr 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tara Knisely Former name

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": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1932953684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MEADE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212131",
            "telephone_number": "412-436-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEADE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212131",
            "telephone_number": "412-436-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFELICE",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW141378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "KNISELY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Louis Defazio, DMD
• Megan Ann Defebo, OTR/L, ATP
• Dana Alice Defelice I, MPAS, PA-C
• Mark James Defelice
• Michelle Luisa Defelice
• Emily Deferrari
• Alison Deffner
• Lauren Defilippi, PT
• Kelley Defilippis, CRNP
• Mark A Defilippo, D.C.

• Social Worker in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.