Tara Whitecotton, LCSW is a
Social Worker - Clinical based in Poplar Grove, Illinois. Tara Whitecotton is licensed to practice in Illinois (license number 149029547) and her current practice location is
108 Pembroke Rd Sw, Poplar Grove, Illinois. She can be reached at her office (for appointments etc.) via phone at
(573) 263-4987.
NPI number for Tara Whitecotton is 1063394674 and her current mailing address is 108 Pembroke Rd Sw, Poplar Grove, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063394674.
Healthcare Provider's Profile
Full Name | Tara Whitecotton |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 108 Pembroke Rd Sw, Poplar Grove, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063394674
- Provider Enumeration Date: 07/23/2025
- Last Update Date: 07/23/2025
Medical Identifiers
Medical identifiers for Tara Whitecotton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063394674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149029547 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara Whitecotton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tara Whitecotton, LCSW 108 Pembroke Rd Sw, Poplar Grove, IL 61065-9267 Ph: () - | Tara Whitecotton, LCSW 108 Pembroke Rd Sw, Poplar Grove, IL 61065-9267 Ph: (573) 263-4987 |
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