Tara Marie Wood
Social Worker in Syracuse, NY. Individual provider (NPI-1).
NPI number1104741545
StatusActive
Last updated in NPPESAug 13, 2026
Details
- NPI
- 1104741545
- Entity type
- Individual (NPI-1)
- Name
- Tara Marie Wood
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2026
- Certification date
- Aug 4, 2026
- Last updated
- Aug 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | NY | Yes |
Practice location
620 Erie Blvd ESyracuse, NY 13202
Phone 315-471-1564
Mailing address
620 Erie Blvd ESyracuse, NY 13202
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