Individual provider · Type 1 NPI

Tara Ann Bungum, LICSW

Clinical Social Worker · Minnetonka, MN

NPI number 1548065873 Active

Practice location

3395 Plymouth Rd
Minnetonka, MN 55305-3765

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X30714 (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 1548065873

Tara Ann Bungum, LICSW's National Provider Identifier is 1548065873, issued on Feb 19, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minnetonka, MN. The record was last updated on Feb 19, 2025.