Individual provider · Type 1 NPI

Tamara Wittrock

Clinical Social Worker · Minneapolis, MN

NPI number 1255949459 Active

Practice location

410 Church St SE
Minneapolis, MN 55455-0222

Call (612) 625-8400 Map

Fax (612) 677-3211

Mailing address

2025 Bluestone Ln
Eagan, MN 55122-2830

Other practice locations

  • 1616 W Lake St, Minneapolis, MN 55408-2549 · (612) 712-6232
  • 2055 White Bear Ave N Ste 125, St. Paul, MN 55109-3721 · (651) 528-1130

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X29848 (MN)
Student in an Organized Health Care Education/Training Program 390200000XNone 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…

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About NPI 1255949459

Tamara Wittrock's National Provider Identifier is 1255949459, issued on Jul 14, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 26, 2026.