Individual provider · Type 1 NPI
Tara Defoor
Clinical Social Worker · Bowling Green, KY
Practice location
1830 Destiny Ln Ste 105
Bowling Green, KY 42104-1088
Mailing address
2745 Titan Way Apt 2215
Bowling Green, KY 42104-6272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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…
2 other providers at this address
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- David Robert Rupsch Ii, LCSWClinical Social Worker Bowling Green, KY NPI 1033526934
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- Carolyn Kates-GlassClinical Social Worker Bowling Green, KY NPI 1043503022
About NPI 1023902251
Tara Defoor's National Provider Identifier is 1023902251, issued on Jun 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bowling Green, KY. The record was last updated on Jun 3, 2025.