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TARA ANN PATRICK LISW
NPI 1235746793
Social Worker in Columbus, OH

Active since September 29, 2020PECOS Enrolled
420 N JAMES RD, COLUMBUS, OH 43219(614) 257-5200 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2025, Sep 29, 2020 (2 updates tracked since 2020).

About Tara Ann Patrick Lisw NPPES

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

TARA ANN PATRICK LISW (NPI 1235746793) is an individual social worker in Columbus, Ohio, licensed in Ohio (69469) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235746793
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTARA ANN PATRICKCredential: LISW
Location Address420 N JAMES RDColumbus, OH 43219-1834
Mailing Address5886 Westbank DriveColumbus, OH 43119 · (252) 646-1808
Phone(614) 257-5200
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 29, 2020
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1235746793 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 · 69469
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.
420 N JAMES RD, Columbus, OH 43219
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9739670837
PECOS Enrollment IDI20251117003403
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.

Medicare Billing Reassignment

Medicare enrollment records show Tara Patrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind Provider Network LLC
1,173 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Ohio enrollment
  • 313 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ANH DAO M.D.
Allergy & Immunology
420 N JAMES RD
COLUMBUS, OH 43219
Franklin County (614) 257-5200
DR. EILEEN DENIRO PHARMD
Pharmacist
420 N JAMES RD
COLUMBUS, OH 43219
Franklin County (330) 718-3219
SHEENA LOUISE RICHARDSON MSN, APRN, FNP-C
Registered Nurse (Diabetes Educator)
420 N JAMES RD
COLUMBUS, OH 43219
Franklin County (614) 257-5587
TONI MAE VANVLERAH-SANDS LPN
Licensed Practical Nurse
420 N JAMES RD
COLUMBUS, OH 43219
Franklin County (740) 223-8809
ANITRA MYER LPN
Licensed Practical Nurse
420 N JAMES RD
COLUMBUS, OH 43219
Franklin County (614) 257-5200
MRS. LINDA M KAY
Registered Nurse
420 N JAMES RD
COLUMBUS, OH 43219
Franklin County (614) 388-7250
MRS. MICHELLE JERNIGAN RN,BSN
Registered Nurse (Women's Health Care, Ambulatory)
420 N JAMES RD
COLUMBUS, OH 43219
Franklin County (614) 257-5200
ASHLEY GATEWOOD BSN, RN
Registered Nurse
420 N JAMES RD
COLUMBUS, OH 43219
Franklin County (614) 388-7837

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 Patrick's NPI number?

The NPI number for Tara Patrick is 1235746793. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Where is Tara Patrick located?

Tara Patrick practices at 420 N James Rd, Columbus, OH 43219. The listed phone number is (614) 257-5200.

What is Tara Patrick's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Tara Patrick enrolled in Medicare?

Yes. Tara Patrick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tara Patrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Patrick reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Patrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Patrick accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Tara Patrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tara Patrick was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.