Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417354523 Individual Practitioner Female Practitioner

Tara K. Stack , MSW, LCSW-C

Social Worker • Bowie, MD

Professional Overview & Biography Verified Profile Summary

Tara Stack, MSW, LCSW-C is a registered healthcare professional specializing in Social Worker in Bowie, MD. Practice services are available at 16701 MELFORD BLVD STE 400 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16701 Melford Blvd Ste 400

Bowie, MD 207154411

Telephone 4154244266
Fax 4155206633
Associated Practice Facility / Clinic
🏢 Medicomp Inc Facility NPI 1598092942

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Bowie, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
47 Specialists

Practicing in Bowie, MD (4140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-12
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MD 19551

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License IL 149.028059

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
228022100 (MD)

Secondary Practice Locations

11202 Kent Ct

New Market, MD 217746274

Phone: 3016067595

111 W Jackson Blvd Ste 1700

Chicago, IL 606043597

Phone: 4154244266

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lisa Taft , MSW, LMHC, LPC

Counselor - Mental Health

NPI 1003114307

Master of Social Work, Licensed Mental Health Counselor, Licensed Professional Counselor

Cherelle Washington , MSW, LCSW

Social Worker - Clinical

NPI 1003475922

Master of Social Work, Licensed Clinical Social Worker

Tammy Harper , MS, MAC, LMHC, SUDP

Counselor - Mental Health

NPI 1013486091

Master of Science, MAC, Licensed Mental Health Counselor, SUDP

Kuan Hsuan Tu , MSW, ACSW

Social Worker - Clinical

NPI 1013644046

Master of Social Work, Academy of Certified Social Workers

Aysia Jackson

Marriage & Family Therapist

NPI 1023552973
Giselle Salas , MSW, ACSW

Social Worker - Clinical

NPI 1023715620

Master of Social Work, Academy of Certified Social Workers

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2024

Social Worker (License #149.028059 in IL)

📍
Updated Practice Location April 18, 2024

Registered at 16701 MELFORD BLVD STE 400, BOWIE, MD 207154411 (Tel: 4154244266)

📍
Updated Business Mailing Address April 18, 2024

Registered at 8300 ESTERS BLVD STE 900, IRVING, TX 750632233 (Tel: 4154244266)

👤
Provider Name / Credentials Updated April 18, 2024

Recorded as TARA STACK, MSW, LCSW-C

NPI Profile Active December 04, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2014

Registered at 11202 KENT CT, NEW MARKET, MD 217746274 (Tel: 3016067595)

📍
Updated Business Mailing Address December 04, 2014

Registered at 11202 KENT CT, NEW MARKET, MD 217746274 (Tel: 3016067595)

👤
Provider Name / Credentials Updated December 04, 2014

Recorded as TARA STACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2014

Social Worker (License #19551 in MD)

🟢
Initial NPI Registration & Enumeration December 04, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417354523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2014
Last Update: December 12, 2024
Sole Proprietor: Yes

Mailing Address

8300 Esters Blvd Ste 900

Irving, TX 750632233

Phone: 4154244266

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.