MEDICARE: TARA JAMES LCSW

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	CW021598	PA
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1669051868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA JAMES LCSW

Provider Business Mailing Address
First Line	:	919 MAIN ST FL 1
Second Line	:
City	:	STROUDSBURG
State	:	PA
Zip	:	18360-1603
Country	:	US
Telephone Number	:	570-534-0324
Fax Number	:	570-203-2318

Provider Business Practice Location Address
First Line	:	919 MAIN ST FL 1
Second Line	:
City	:	STROUDSBURG
State	:	PA
Zip	:	18360-1603
Country	:	US
Telephone Number	:	570-534-0324
Fax Number	:

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

Provider Enumeration Date	:	04/05/2021
Last Update Date	:	03/02/2026

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Directions to “ TARA JAMES LCSW” Practice Location

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