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

Individual provider Clinical Social Worker · NPI 1841812880

Tara Elizabeth Buentello, LCSW is a Clinical Social Worker in Ridgewood, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1025 Seneca Ave
Ridgewood, NY 11385-5800
Phone: (646) 980-0539
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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 085006 (NY)

Record details

NPI number1841812880
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 13, 2020
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021

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