Tara Lynn Hartley, LCSW

Clinical Social Worker · Carterville, IL

Individual Active NPI

NPI number 1639718612

Practice location

1400 Pin Oak Dr
Carterville, IL 62918-1600
Phone
(618) 985-3333
Fax
(618) 985-1307

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NPI record

NPI
1639718612
Entity type
Individual (Type 1)
Enumeration date
December 23, 2019
Last updated
September 19, 2023
Certified
September 19, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149.021785 IL

Mailing address

PO Box 3988
Carbondale, IL 62902-3988
Phone
(618) 457-5200

About Tara Hartley

Tara Lynn Hartley, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 1400 Pin Oak Dr, Carterville, IL 62918-1600. The NPI number 1639718612 was assigned on December 23, 2019 and the record was last updated on September 19, 2023.

Tara Hartley lists a license in the registry: #149.021785 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tara Lynn Hartley, LCSW?

The NPI number is 1639718612.

What is the phone number of Tara Hartley?

The phone number listed for the practice location is (618) 985-3333.

Where is Tara Hartley located?

1400 Pin Oak Dr, Carterville, IL 62918-1600.

What is the taxonomy code for Tara Hartley?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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