Active NPI
Tara Noelle Eaton, LSW
- Social Worker
- Colorado Springs, CO
National Provider Identifier
1992691489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW.0009926417
- Practice address
- 6985 Tutt Blvd Ste 100
Colorado Springs, CO 80923-3588 - Phone
- (719) 624-0954
- NPI assigned
- Jun 13, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW.0009926417 | CO | Primary |
Addresses
Primary practice location
6985 Tutt Blvd Ste 100
Colorado Springs, CO 80923-3588
Mailing address
3515 Beechwood CT
Colorado Springs, CO 80918-6417
Phone (303) 815-5398
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 |
|---|---|---|---|
| LSW.0009926417 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1992691489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 BEECHWOOD CT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186417",
"telephone_number": "303-815-5398",
"fax_number": "303-815-5398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6985 TUTT BLVD STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809233588",
"telephone_number": "719-624-0954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "TARA",
"middle_name": "NOELLE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-13",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009926417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.