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

Tara Lynn Hendrickson Smith, LCSW

Individual provider Clinical Social Worker · NPI 1780202440

Tara Lynn Hendrickson Smith, LCSW is a Clinical Social Worker in Boise, Idaho. Qualified in 2020, 6 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

905 E Bannock St
Boise, ID 83712-7913
Phone: (208) 445-1528
Fax: (208) 593-4413
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-43773 (ID)
Social Worker Taxonomy 104100000X · Licence 39796 (ID)

Record details

NPI number1780202440
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 9, 2020
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Boise