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TARA MAEVE DORNAN BA, QIDP
NPI 1083324669
Case Manager/Care Coordinator in Grand Rapids, MI

Active since December 05, 2022
790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 336-3909 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tara Maeve Dornan Ba, Qidp NPPES

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

TARA MAEVE DORNAN BA, QIDP (NPI 1083324669) is an individual case manager/care coordinator provider in Grand Rapids, Michigan and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1083324669
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameTARA MAEVE DORNANCredential: BA, QIDP
Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918
Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918
Phone(616) 336-3909
Sole ProprietorYes
Enumeration DateDecember 5, 2022
NPPES CertifiedDecember 5, 2022
✔ NPI 1083324669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

790 FULLER AVE NE, Grand Rapids, MI 49503
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA DUARTE-MENENDEZ LMSW
Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MISS JALISA SHAWTAE SMITH LLMSW
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MACKENZIE ERIN CLEGG
Behavior Analyst
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MRS. ALEITA A BROWN LLBSW
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 825-5412
ANNIKA KNOTT LMSW
Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 724-6942
VIOLET RAMAGE
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (734) 493-2978
DAVID G MARSHALL LPC
Counselor (Professional)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
DAWN MARIE MACDONALD LLMSW
Social Worker
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909

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 Dornan's NPI number?

The NPI number for Tara Dornan is 1083324669. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Where is Tara Dornan located?

Tara Dornan practices at 790 Fuller Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 336-3909.

What is Tara Dornan's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Tara Dornan was last updated on December 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.