Tara J Black, is a
Social Worker based in Shreveport, Louisiana. Tara J Black is licensed to practice in Louisiana (license number 12403) and her current practice location is
7019 Louise St, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 218-3896.
NPI number for Tara J Black is 1508313735 and her current mailing address is 7019 Louise St, Shreveport, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508313735.
Healthcare Provider's Profile
Full Name | Tara J Black |
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Gender | Female |
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Speciality | Social Worker |
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Location | 7019 Louise St, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508313735
- Provider Enumeration Date: 09/06/2016
- Last Update Date: 01/23/2025
Medical Identifiers
Medical identifiers for Tara J Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508313735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
104100000X | Social Worker | 12403 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara J Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tara J Black, 7019 Louise St, Shreveport, LA 71108-4840 Ph: (318) 218-3896 | Tara J Black, 7019 Louise St, Shreveport, LA 71108 Ph: (318) 218-3896 |
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