Individual provider Active NPI

Tara Zandi, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1952708125
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50081173 Issued in DC
Practice address
1380 Quincy St NW Unit 3C
Washington, DC 20011-5568
Phone
(508) 414-6270
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19713 MD
Clinical Social Worker 1041C0700X 0904011566 VA
Clinical Social Worker 1041C0700X 108720 CA
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LC50081173 DC Primary

Addresses

Primary practice location

1380 Quincy St NW Unit 3C
Washington, DC 20011-5568

Mailing address

1380 Quincy St NW Unit 3C
Washington, DC 20011-5568
Phone (508) 414-6270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190619002556 DC Practitioner - Clinical Social Worker 6901130384 Reassigns benefits to 2 organizations
I20250717003646 CA Practitioner - Clinical Social Worker 6901130384 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19713MDMDClinical Social Worker
0904011566VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Sep 18, 2021 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince May 22, 2025 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Apr 12, 2025 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

2301 M St NW
Washington, DC 20037
Phone (202) 419-6200

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1952708125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 QUINCY ST NW UNIT 3C",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115568",
            "telephone_number": "508-414-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 QUINCY ST NW UNIT 3C",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115568",
            "telephone_number": "508-414-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDI",
        "first_name": "TARA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19713",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011566",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "108720",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.