Individual provider · Type 1 NPI

Tara Sheppard, LCSW

Clinical Social Worker · Waukegan, IL

NPI number 1053298307 Active

Practice location

415 Washington St Ste 216S
Waukegan, IL 60085-5564

Mailing address

38 Burnett Ave
Lake Villa, IL 60046-9004

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149019428 (IL)

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 1053298307

Tara Sheppard, LCSW's National Provider Identifier is 1053298307, issued on Aug 19, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waukegan, IL. The record was last updated on Aug 19, 2025.