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TARA JENKINS LSW CAADC NPI 1235737412


NPI Information

NPI: 1235737412
Provider Name: TARA JENKINS, LSW, CAADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
6701 WOOLSTON AVE
PHILADELPHIA, PA
ZIP 19138
Phone: (215) 869-5042
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Tara Jenkins, LSW, CAADC is an addiction (substance use disorder) counselor in Philadelphia, PA. Tara Jenkins, LSW, CAADC NPI is 1235737412. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6701 WOOLSTON AVE
PHILADELPHIA, PA
ZIP 19138-628
Phone: (215) 869-5042

The enumeration date for this NPI number is 10/11/2020 and was last updated on 10/11/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)Yes
3101YM0800XCounselorMental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.