Individual provider · Type 1 NPI

Tara Ann Wickelgren

Clinical Social Worker · Greenville, TX

NPI number 1013707199 Active

Practice location

4901 Jefferson St
Greenville, TX 75401-2834

Call (507) 525-5988 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X120655 (TX)
Clinical Social Worker Primary 1041C0700X24464 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1013707199

Tara Ann Wickelgren's National Provider Identifier is 1013707199, issued on May 12, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greenville, TX. The record was last updated on Oct 9, 2026.