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

Individual provider Clinical Social Worker · NPI 1619409919

Tara Anne Genovese-Ramos is a Clinical Social Worker in Chicago, Illinois. Qualified in 2012, 14 years ago. Practices with Clarity Clinic LLC, a 109-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2017
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Practice location Address checks out

4212 N Keystone Ave Apt 2C
Chicago, IL 60641-2320
Phone: (773) 366-4151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.018740 (IL)

Record details

NPI number1619409919
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 28, 2017
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Clarity Clinic Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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