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

Tara Anglim, LCSW-R

Individual provider Clinical Social Worker · NPI 1861746919

Tara Anglim, LCSW-R is a Clinical Social Worker in Bayport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

166 Gerritsen Ave
Bayport, NY 11705-2162
Phone: (631) 944-2909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R071724-1 (NY)

Record details

NPI number1861746919
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedOctober 27, 2012
Last updated in NPPESOctober 27, 2012
Mailing address166 Gerritsen Ave, Bayport, NY 11705-2162

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