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MRS. TARA LYNN DIVELY M.A., LMFT
NPI 1386019990
Social Worker - Clinical in Selinsgrove, PA

Active since December 08, 2015Opted out of Medicare · through Jun 25, 2028
29 N MARKET ST, SELINSGROVE, PA 17870(717) 221-8004(717) 221-8006 Get Directions Write a Review

NPPES record last updated: December 8, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Tara Lynn Dively M.a., Lmft NPPES

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

MRS. TARA LYNN DIVELY M.A., LMFT (NPI 1386019990) is an individual clinical provider in Selinsgrove, Pennsylvania, licensed in Pennsylvania (MF000585) and active in the NPI registry since December 2015. She has opted out of Medicare through June 25, 2028.

NPPES Registry Identity

NPI1386019990
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. TARA LYNN DIVELYCredential: M.A., LMFT
Location Address29 N MARKET STSelinsgrove, PA 17870-1924
Mailing Address2019 N 2nd StHarrisburg, PA 17102-2147 · (717) 221-8004 · Fax (717) 221-8006
Phone(717) 221-8004
Fax(717) 221-8006
Sole ProprietorNo
Enumeration DateDecember 8, 2015
✔ NPI 1386019990 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 PA · MF000585
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.
29 N MARKET ST, Selinsgrove, PA 17870
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Tara Lynn Dively M.a., Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 25, 2024 through June 25, 2028.

Opt-Out Effective DateJune 25, 2024
Opt-Out In Effect ThroughJune 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

DR. DAVID S BODMER DPM
Podiatrist
29 N MARKET ST, SUITE B
SELINSGROVE, PA 17870
Snyder County (570) 716-0939
BODMER FAMILY FOOTCARE PC
Podiatrist
29 N MARKET ST, SUITE B
SELINSGROVE, PA 17870
Snyder County (570) 213-4200

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 Dively's NPI number?

The NPI number for Tara Dively is 1386019990. It was assigned to this individual provider in the NPPES registry on December 8, 2015.

Where is Tara Dively located?

Tara Dively practices at 29 N Market St, Selinsgrove, PA 17870. The listed phone number is (717) 221-8004.

What is Tara Dively's specialty?

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

Is Tara Dively enrolled in Medicare?

No. Tara Dively has opted out of Medicare through June 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tara Dively was last updated on December 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.