Tara Ryan-Dedominicis
NPI 1164192001 · Clinical Social Worker · Bridgeport, CT
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tara Ryan-Dedominicis is a Clinical Social Worker provider in Bridgeport, CT (NPI 1164192001).
Provider details
- NPI number
- 1164192001
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 011683 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 33 Overlook AveBasking Ridge, NJ 07920-2660Phone: (908) 334-6103
Registry dates
- Enumerated
- 2021-09-13
- Last updated
- 2021-09-13
- Certified
- 2021-09-13
Frequently asked questions
- What is Tara Ryan-Dedominicis's NPI number?
- Tara Ryan-Dedominicis's National Provider Identifier (NPI) is 1164192001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Ryan-Dedominicis's specialty?
- Tara Ryan-Dedominicis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tara Ryan-Dedominicis located?
- Tara Ryan-Dedominicis's practice location on file with NPPES is 982 E Main St, Bridgeport, CT 06608-1913.
- What is Tara Ryan-Dedominicis's phone number?
- The practice phone number listed in the NPPES registry for Tara Ryan-Dedominicis is (203) 696-3260.
- Does Tara Ryan-Dedominicis accept Medicare?
- Tara Ryan-Dedominicis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tara Ryan-Dedominicis's NPI active?
- Yes — Tara Ryan-Dedominicis's NPI (1164192001) is active in the NPPES registry as of the last update on 2021-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.