TARA DURKIN (NPI# 1750605283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750605283 |
| Entity Type | Individual |
| Full Name | TARA DURKIN |
| Other Name | TARA SHOOP |
| Credential | LSW |
| Practice Address |
5100 Peach St Erie PA 16509-2482 |
| Practice Telephone | 8148664500 |
| Practice Fax Number | 8148642677 |
| Mailing Telephone | 8148664500 |
| Mailing Fax Number | 8148642677 |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2012-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | SW124363 | PA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW016626 | PA | Behavioral Health & Social Service Providers |
| Street Address |
5100 PEACH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613863 | Lynn Marie Rupp | Physical Therapist | 5100 Peach St, Erie, PA 16509-2482 | 2005-07-14 |
| 1740722057 | Shannon Brown | Counselor | 5100 Peach St, Erie, PA 16509-2482 | 2016-11-17 |
| 1316234057 | Jane Morell | Counselor | 5100 Peach St, Erie, PA 16509-2482 | 2011-07-01 |
| 1922302769 | Diane Shafer | Counselor | 5100 Peach St, Erie, PA 16509-2482 | 2011-01-10 |
| 1518268960 | Bobbi Jo Vaughn | Social Worker | 5100 Peach St, Erie, PA 16509-2482 | 2010-11-16 |
| 1407003460 | Valerie Mininger | Social Worker | 5100 Peach St, Erie, PA 16509-2482 | 2008-08-21 |
| 1801052147 | Douglas Pontzer | Counselor | 5100 Peach St, Erie, PA 16509-2482 | 2008-08-06 |
| 1073774824 | Ann Muczynski | Social Worker | 5100 Peach St, Erie, PA 16509-2482 | 2008-06-24 |
| 1407026180 | Kathleen Weislogel | Social Worker | 5100 Peach St, Erie, PA 16509-2482 | 2008-03-10 |
| 1053505974 | Antoinette Louise Baker-mulford | Social Worker | 5100 Peach St, Erie, PA 16509 | 2007-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092243 | Sasia Jones | Social Worker | 2811 Wayne St, Erie, PA 16504-1254 | 2018-08-08 |
| 1760975858 | Alicia Elizabeth Mcgill | Social Worker | 4402 Peach St Ste 6, Erie, PA 16509-1358 | 2018-06-13 |
| 1467951988 | Julie M Mannarino | Social Worker | 3250 W Lake Rd Ste 2, Erie, PA 16505-3691 | 2018-02-10 |
| 1043729692 | Kristen A Schenker | Social Worker | 150 E 8th St Fl 1, Erie, PA 16501-1270 | 2017-09-27 |
| 1679090534 | Kelly Roberts | Social Worker | 2520 Hampton Rd Ste 18, Erie, PA 16502-2073 | 2017-08-23 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1912366782 | Rachel A. Lackovic, Lcsw LLC | Social Worker | 807 W 26th St, Suite 3, Erie, PA 16508-3205 | 2016-02-22 |
| 1336512466 | Christine Harbison | Social Worker | 1624 Westin Dr, Erie, CO 80516-7246 | 2015-11-11 |
| 1134561210 | Lynn Diane Grychowski | Social Worker | 4301 Lancaster Road, Erie, PA 16506-5271 | 2013-07-18 |
| 1780981621 | Debra K Brown | Social Worker | 5535 Peach Street, Lecom Senior Living Center, Erie, PA 16509 | 2011-02-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.