Individual provider Active NPI

Tara R Prater, LCSW

  • Clinical Social Worker
  • North Tazewell, VA
National Provider Identifier
1982010328
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008645 Issued in VA
Practice address
583C E Riverside Dr
North Tazewell, VA 24630-9573
Phone
(276) 979-9899
Fax
(276) 979-9798
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904008645 VA Primary

Addresses

Primary practice location

583C E Riverside Dr
North Tazewell, VA 24630-9573

Mailing address

PO Box 729
Saltville, VA 24370-0729
Phone (276) 496-4492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141013001764 VA Practitioner - Clinical Social Worker 4688894736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savida Health PCGroup PAC ID 4082809967, 89 clinicians

Practice addresses (Care Compare)

4003 Steelsburg Hwy
Cedar Bluff, VA 24609-7019
Phone (833) 356-4080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Virginia Community Health Systems Incorporated Current Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince May 15, 2023 Accepting new patients
Black Diamond Transportation LLC Current Accepting new patients
Savida Health, PC CurrentSince May 28, 2024 Accepting new patients
Savida Health, PC CurrentSince May 28, 2024 Accepting new patients

Locations

406 W Main St
#100
Abingdon, VA 24210
Phone (276) 356-0501

2609 Sheffield Dr
Blacksburg, VA 24060
Phone (304) 647-0677

4003 Steelsburg Hwy
Cedar Bluff, VA 24609
Phone (276) 284-2230

160 Courthouse Ln
Clintwood, VA 24228
Phone (276) 926-4031

767 Madison Rd
Ste 107
Culpeper, VA 22701
Phone (540) 850-0858

5554 Redbud Hwy
Honaker, VA 24260
Phone (273) 873-6222

1245 E Main St
Lebanon, VA 24266
Phone (276) 445-7090

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

13136 Riverside Dr
Oakwood, VA 24631
Phone (276) 859-7080

308 W Main St
Saltville, VA 24370
Phone (276) 496-4433

4001 Prince William Pkwy
Ste 300
Woodbridge, VA 22192
Phone (703) 214-5825

350 S 4th St
Ste B
Wytheville, VA 24382

Interoperability endpoints

  • Direct secure messaging: tara.prater.1@24804.direct.athenahealth.com

Organizations & group practices 5

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1982010328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243700729",
            "telephone_number": "276-496-4492",
            "fax_number": "276-496-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583C E RIVERSIDE DR",
            "city": "NORTH TAZEWELL",
            "state": "VA",
            "postal_code": "246309573",
            "telephone_number": "276-979-9899",
            "fax_number": "276-979-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "TARA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tazewell, VA

Sources for this page

Verify at the official NPI Registry.