Tara Deroo LLC
NPI 1306187802 · Social Worker · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tara Deroo LLC is a Social Worker organization in Grand Rapids, MI (NPI 1306187802).
Provider details
- NPI number
- 1306187802
- Entity type
- Organization
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tara Deroo, Social Worker(616) 264-3200
- License
- 6801081584 (MI)
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
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2013-03-07
- Last updated
- 2013-03-07
Frequently asked questions
- What is Tara Deroo LLC's NPI number?
- Tara Deroo LLC's National Provider Identifier (NPI) is 1306187802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tara Deroo LLC?
- Tara Deroo LLC is classified in the NPPES registry as Social Worker (Behavioral Health & Social Service Providers).
- Where is Tara Deroo LLC located?
- Tara Deroo LLC's practice location on file with NPPES is 4127 Embassy Dr Se, Grand Rapids, MI 49546-2418.
- What is Tara Deroo LLC's phone number?
- The practice phone number listed in the NPPES registry for Tara Deroo LLC is (616) 264-3200.
- Does Tara Deroo LLC accept Medicare?
- Tara Deroo LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tara Deroo LLC?
- The authorized official listed on Tara Deroo LLC's NPPES record is Tara Deroo, Social Worker. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tara Deroo LLC's NPI active?
- Yes — Tara Deroo LLC's NPI (1306187802) is active in the NPPES registry as of the last update on 2013-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.