TARA K DALE LISW
NPI 1043580202
Social Worker in Cincinnati, OH

Q: What is the provider's specialty?

The provider's specialty is Social Worker with taxonomy code 104100000X.

Active since January 05, 2012PECOS Enrolled

3333 BURNET AVE, MLC 6019, CINCINNATI, OH 45229(513) 636-4124(513) 636-4283 Get Directions Write a Review

NPPES record last updated: May 27, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tara K Dale Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA K DALE LISW (NPI 1043580202) is an individual social worker in Cincinnati, Ohio, licensed in Ohio (I.1303052-SUPV) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043580202

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameTARA K DALECredential: LISW

Location Address3333 BURNET AVE, MLC 6019Cincinnati, OH 45229-3026

Mailing Address3333 Burnet Ave, Mlc 6019Cincinnati, OH 45229-3026 · (513) 636-4124 · Fax (513) 636-4283

Phone(513) 636-4124

Fax(513) 636-4283

Sole ProprietorNo

Enumeration DateJanuary 5, 2012

Last NPPES UpdateMay 27, 2016

✔ NPI 1043580202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in OH · I.1303052-SUPV

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

3333 BURNET AVE, Cincinnati, OH 45229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara K Dale Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.