Active NPI
Tara West, LICSW
- Clinical Social Worker
- Danville, NH
National Provider Identifier
1942519871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1832
- Practice address
- 113 Beach Plain Rd
Danville, NH 03819-3122 - Phone
- (603) 836-8470
- NPI assigned
- Sep 27, 2010
- Last updated
- Feb 24, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 118173 | MA | |
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 1832 | NH | Primary |
Addresses
Primary practice location
113 Beach Plain Rd
Danville, NH 03819-3122
Mailing address
113 Beach Plain Rd
Danville, NH 03819-3122
Other practice location 1
9 Hampton Rd
Exeter, NH 03833-4807
Phone (207) 740-1104
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 |
|---|---|---|---|
| 118173 | MA | MD | Clinical Social Worker |
| 1832 | NH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodhi Counseling Services LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Londonderry, NH
- NPI 1952903767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1942519871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 BEACH PLAIN RD",
"city": "DANVILLE",
"state": "NH",
"postal_code": "038193122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 BEACH PLAIN RD",
"city": "DANVILLE",
"state": "NH",
"postal_code": "038193122",
"telephone_number": "603-836-8470"
}
],
"practiceLocations": [
{
"address_1": "9 Hampton Rd",
"address_purpose": "LOCATION",
"city": "Exeter",
"state": "NH",
"postal_code": "038334807",
"country_code": "US",
"telephone_number": "207-740-1104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEST",
"first_name": "TARA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-27",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "118173",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "1832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.