Tara Gravitt, LCSW, CAADC, CCM is a
Social Worker - Clinical based in Philadelphia, Pennsylvania. Tara Gravitt is licensed to practice in Pennsylvania (license number CW020814) and her current practice location is
1601 Walnut St Ste 1017, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(267) 308-4303.
NPI number for Tara Gravitt is 1699371419 and her current mailing address is Po Box 9142, Philadelphia, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699371419.
Healthcare Provider's Profile
Full Name | Tara Gravitt |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1601 Walnut St Ste 1017, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699371419
- Provider Enumeration Date: 12/07/2020
- Last Update Date: 12/07/2020
Medical Identifiers
Medical identifiers for Tara Gravitt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699371419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 8157 (Pennsylvania) | Secondary |
171M00000X | Case Manager/care Coordinator | 4237640 (Pennsylvania) | Secondary |
1041C0700X | Social Worker - Clinical | CW020814 (Pennsylvania) | 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 Gravitt 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 Gravitt, LCSW, CAADC, CCM Po Box 9142, Philadelphia, PA 19139-9142 Ph: (267) 308-4303 | Tara Gravitt, LCSW, CAADC, CCM 1601 Walnut St Ste 1017, Philadelphia, PA 19102-2906 Ph: (267) 308-4303 |
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