Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara Deroo LLC

Organization Social Worker · NPI 1306187802

Tara Deroo LLC is a Social Worker in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4127 Embassy Dr SE
Grand Rapids, MI 49546-2418
Phone: (616) 264-3200
Fax: (616) 264-3201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801081584 (MI)

Record details

NPI number1306187802
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Deroo — Social Worker · (616) 264-3200
NPI enumeratedMarch 7, 2013
Last updated in NPPESMarch 7, 2013
Mailing address4127 Embassy Dr Se, Grand Rapids, MI 49546-2418

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