Individual provider · Type 1 NPI

Tara Waldron, LICSW

Clinical Social Worker · Blaine, MN

NPI number 1750723573 Active

Practice location

11870 Ulysses St NE, Ste 200
Blaine, MN 55434-4179

Call (763) 482-9598 Map

Fax (612) 235-6447

Mailing address

745 36th Ave NE
Minneapolis, MN 55418-1239

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20530 (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 1750723573

Tara Waldron, LICSW's National Provider Identifier is 1750723573, issued on Jul 22, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Blaine, MN. The record was last updated on Jul 22, 2013.