TARA MISRA MS, MSW
NPI 1417620154
Social Worker - Clinical in Portland, OR

Active since July 28, 2021
1235 SE DIVISION ST, PORTLAND, OR 97202(360) 726-4141 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tara Misra Ms, Msw NPPES

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

TARA MISRA MS, MSW (NPI 1417620154) is an individual clinical provider in Portland, Oregon, licensed in Oregon (A12635) and active in the NPI registry since July 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1417620154
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTARA MISRACredential: MS, MSW
Location Address1235 SE DIVISION STPortland, OR 97202-1099
Mailing Address4620 Se 40th Ave Apt 1Portland, OR 97202-4091 · (505) 620-1692
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
NPI 1417620154 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 OR · A12635
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.

1235 SE DIVISION ST, Portland, OR 97202

Accepted 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 Misra Ms, Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214430461
PECOS Enrollment IDI20250912001501

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.

Family Medicine
1235 SE DIVISION ST, SUITE 208
PORTLAND, OR 97202
Acupuncturist
1235 SE DIVISION ST, SUITE 115
PORTLAND, OR 97202
Massage Therapist
1235 SE DIVISION ST, SUITE 205
PORTLAND, OR 97202
Counselor (Mental Health)
1235 SE DIVISION ST, SUITE 207
PORTLAND, OR 97202
Massage Therapist
1235 SE DIVISION ST, 301
PORTLAND, OR 97202
Massage Therapist
1235 SE DIVISION ST, SUITE 203B
PORTLAND, OR 97202
Speech-Language Pathologist
1235 SE DIVISION ST, SUITE 204
PORTLAND, OR 97202
Marriage & Family Therapist
1235 SE DIVISION ST, STE. 204
PORTLAND, OR 97202

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 Misra's NPI number?

The NPI number for Tara Misra is 1417620154. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Tara Misra located?

Tara Misra practices at 1235 SE Division St, Portland, OR 97202. The listed phone number is (360) 726-4141.

What is Tara Misra's specialty?

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

Is Tara Misra enrolled in Medicare?

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

What insurance does Tara Misra accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Tara Misra 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 Misra was last updated on July 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.