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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1699371419

Tara Gravitt, LCSW, CAADC, CCM is an Addiction (Substance Use Disorder) Counselor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
Specialties on file
3
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

1601 Walnut St Ste 1017
Philadelphia, PA 19102-2906
Phone: (267) 308-4303
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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 CW020814 (PA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 8157 (PA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 4237640 (PA)

Record details

NPI number1699371419
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CAADC , CCM
Sole proprietorYes
NPI enumeratedDecember 7, 2020
Last updated in NPPESDecember 7, 2020
Certification dateNovember 30, 2020

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