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TARA LYNN HARTLEY LCSW
NPI 1639718612
Social Worker - Clinical in Carterville, IL

Active since December 23, 2019PECOS Enrolled
1400 PIN OAK DR, CARTERVILLE, IL 62918(618) 985-3333(618) 985-1307 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2021, Jan 29, 2021, Dec 23, 2019 (3 updates tracked since 2019).

About Tara Lynn Hartley Lcsw NPPES

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

TARA LYNN HARTLEY LCSW (NPI 1639718612) is an individual clinical provider in Carterville, Illinois, licensed in Illinois (149.021785) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639718612
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTARA LYNN HARTLEYCredential: LCSW
Location Address1400 PIN OAK DRCarterville, IL 62918-1600
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Phone(618) 985-3333
Fax(618) 985-1307
Sole ProprietorNo
Enumeration DateDecember 23, 2019
Last NPPES UpdateSeptember 19, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
✔ NPI 1639718612 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 IL · 149.021785
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.
1400 PIN OAK DR, Carterville, IL 62918
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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 Lynn Hartley Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62918 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

DR. IBRAHIM DARE OMORE M.D
Internal Medicine (Hematology & Oncology)
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333
MARY K CHAPMAN NP
Nurse Practitioner
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333
MRS. LAKSHMI MANOGNA CHINTALACHERUVU MD
Internal Medicine (Hematology & Oncology)
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333
SOUTHERN ILLINOIS RADIATION ONCOLOGY LLC
Radiology (Radiation Oncology)
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333
NIYATEE DIPAK PATEL MD
Family Medicine (Hospice and Palliative Medicine)
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333
MEREDITH GRACE LUKENS PA-C
Physician Assistant
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333
MRS. BRENDA L. CARTER MSW, LCSW
Social Worker (Clinical)
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333
DR. JOHN ROBERT CLEMENT MD
Internal Medicine (Hematology & Oncology)
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333

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 Hartley's NPI number?

The NPI number for Tara Hartley is 1639718612. It was assigned to this individual provider in the NPPES registry on December 23, 2019.

Where is Tara Hartley located?

Tara Hartley practices at 1400 Pin Oak Dr, Carterville, IL 62918. The listed phone number is (618) 985-3333.

What is Tara Hartley's specialty?

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

Is Tara Hartley enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tara Hartley was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.