TARA LYNN HENDRICKSON SMITH LCSW
NPI 1780202440
Social Worker - Clinical in Boise, ID

Active since July 09, 2020PECOS EnrolledAccepts Medicare Assignment
905 E BANNOCK ST, BOISE, ID 83712(208) 445-1528(208) 593-4413 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 18, 2024, Jul 18, 2023, Jun 20, 2023 and 1 more (4 updates tracked since 2020).

About Tara Lynn Hendrickson Smith Lcsw NPPES

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

TARA LYNN HENDRICKSON SMITH LCSW (NPI 1780202440) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW-43773) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780202440
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTARA LYNN HENDRICKSON SMITHCredential: LCSW
Location Address905 E BANNOCK STBoise, ID 83712-7913
Mailing Address905 E Bannock StBoise, ID 83712-7913 · (208) 412-1207 · Fax (208) 321-0221
Fax(208) 593-4413
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 9, 2020
Last NPPES UpdateJune 18, 20244 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
NPI 1780202440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ID · LCSW-43773
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 39796 (ID)
905 E BANNOCK ST, Boise, ID 83712

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 and accepts Medicare assignment

Tara Lynn Hendrickson Smith Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204297310
PECOS Enrollment IDI20230804000841
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 83712 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 $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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 Smith's NPI number?

The NPI number for Tara Smith is 1780202440. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Tara Smith located?

Tara Smith practices at 905 E Bannock St, Boise, ID 83712. The listed phone number is (208) 445-1528.

What is Tara Smith's specialty?

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

Is Tara Smith enrolled in Medicare?

Yes. Tara Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tara Smith accept?

Health plans from Moda Health Plan, Inc. and Select Health list Tara Smith 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 Smith was last updated on June 18, 2024. 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.