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TARA JEAN PETRUNGARO LCSW
NPI 1083134605
Social Worker - Clinical in Lake Ronkonkoma, NY

Active since June 24, 2017
181 LORENZO CIR, LAKE RONKONKOMA, NY 11779(631) 708-9309 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2022, Jun 24, 2017 (2 updates tracked since 2017).

About Tara Jean Petrungaro Lcsw NPPES

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

TARA JEAN PETRUNGARO LCSW (NPI 1083134605) is an individual clinical provider in Lake Ronkonkoma, New York, licensed in New York (075742-1) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1083134605
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTARA JEAN PETRUNGAROCredential: LCSW
Location Address181 LORENZO CIRLake Ronkonkoma, NY 11779-2279
Mailing Address181 Lorenzo CirLake Ronkonkoma, NY 11779-2279 · (631) 708-9309
Phone(631) 708-9309
Sole ProprietorYes
Enumeration DateJune 24, 2017
Last NPPES UpdateSeptember 6, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
✔ NPI 1083134605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 075742-1
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
181 LORENZO CIR, Lake Ronkonkoma, NY 11779
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Petrungaro's NPI number?

The NPI number for Tara Petrungaro is 1083134605. It was assigned to this individual provider in the NPPES registry on June 24, 2017.

Where is Tara Petrungaro located?

Tara Petrungaro practices at 181 Lorenzo Cir, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 708-9309.

What is Tara Petrungaro's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tara Petrungaro was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.