Tara Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019940 Issued in PA

Practice address

6301 Forbes Ave Ste 230
Pittsburgh, PA 15217-1725

Phone

(412) 206-1411

NPI assigned

Aug 7, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Attuned Counseling and Trauma Therapy, LLC

  • Clinical Social Worker
  • Athens, PA
  • NPI 1275101735
  NPD Authorized official
• East End Therapists, LLC

  • Clinical Social Worker
  • Monroeville, PA
  • NPI 1245607993
  NPD
• Concern-Professional Services for Children, Youth & Families

  • Adolescent and Children Mental Health Clinic/Center
  • Allentown, PA
  • NPI 1053178764
  NPD (past)
• Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towanda, PA
  • NPI 1376845479
  NPD (past)

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1952710550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 FORBES AVE STE 230",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171725",
            "telephone_number": "412-206-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 FORBES AVE STE 230",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171725",
            "telephone_number": "412-206-1411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6301 Forbes Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152171725",
            "country_code": "US",
            "telephone_number": "412-206-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW131547",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Maria Clark, MS, LCGC
• Robert Clark
• Ryan John Clark, MD
• Sara McMahon Clark
• Susan Diane Clark, CRNA
• Walter J. Clark Jr., M.D.
• William J Clark
• Clarke and Company Pathology Inc
• Camille Anne-Marie Clarke-Smith, EDD, CES, MS
• Alison R Clarke, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.