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Tara Lynn Cupit

Social Worker

Behavioral Health & Social Service Providers

220 W Chelten Ave, Philadelphia, PA 19144-3803

PECOS Enrollment

This provider is enrolled in PECOS as TARA CUPIT.

Based on the most recent information from CMS, provider Tara Lynn Cupit is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1689320426
Provider Type
Individual
Full Name
Cupit, Tara Lynn
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
3/1/2022
Last Updated
3/1/2022

Contact Information

Practice Location

220 W Chelten Ave, Philadelphia, PA 19144-3803

(215) 310-7022

(267) 281-1744

Mailing Location

220 W Chelten Ave, Philadelphia, PA 19144-3803

(215) 310-7022

(267) 281-1744

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CW020980 Pennsylvania

Tara Lynn Cupit

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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