Stack, Tara K.

Stack, Tara K. is an sole proprietor health care provider with primary practice located at 16701 Melford Blvd Ste 400 , Bowie MD 20715-4411. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Stack, Tara K. can be contacted via phone (415) 424-4266.

Contact Information

Primary practice address
16701 Melford Blvd Ste 400 Bowie MD 20715-4411
Phone: (415) 424-4266
Fax: (415) 520-6633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 19551 Maryland

Profile Details

NPI number 1417354523
LBN Legal business name Stack, Tara K.
Credentials MSW, LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2014
Last updated Apr 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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