MEDICARE: TARA MCGOWEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC06600600	NJ

General Provider Information

NPI Number	:	1083566434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA MCGOWEN

Provider Business Mailing Address
First Line	:	206 CAROL DR
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-4304
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 CAROL DR
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-4304
Country	:	US
Telephone Number	:	732-232-3711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ TARA MCGOWEN ” Practice Location

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