Healthcare Provider Details

I. General information

NPI: 1144554387
Provider Name (Legal Business Name): TARN CAROLYN MARTIN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2009
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 444
NORTHAMPTON MA
01061-0444
US

IV. Provider business mailing address

139 PROSPECT ST
NORTHAMPTON MA
01060-2132
US

V. Phone/Fax

Practice location:
  • Phone: 413-387-7953
  • Fax:
Mailing address:
  • Phone: 413-387-7953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: