Individual provider · Type 1 NPI
Alex Tarasar
Clinical Social Worker · Maplewood, MN
Practice location
1675 Beam Ave Ste 101
Maplewood, MN 55109-1478
Mailing address
19004 12th Ave NE
Shoreline, WA 98155-2243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LW61567836 (WA) |
| Clinical Social Worker Primary | 1041C0700X | 34430 (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 1346962859
Alex Tarasar's National Provider Identifier is 1346962859, issued on Sep 13, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maplewood, MN. The record was last updated on May 22, 2025.