Tara Herrmann, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Edina, Minnesota. She graduated from healthcare school in 2021 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
7101 York Ave S Ste 317, Edina, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 703-4215.
Tara Herrmann is licensed to practice in Minnesota (license number 20695) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1053814780.
Healthcare Provider's Profile
| Full Name | Tara Herrmann |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 7101 York Ave S Ste 317, Edina, Minnesota |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tara Herrmann graduated from medical school in 2021
NPI Data:
- NPI Number: 1053814780
- Provider Enumeration Date: 03/08/2018
- Last Update Date: 09/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789123381
- Enrollment ID: I20250620001419
Medical Identifiers
Medical identifiers for Tara Herrmann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053814780 | NPI | - | NPPES |
| 1053814780 | Other | | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 306272 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 20695 (Minnesota) | 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 Herrmann is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tara Herrmann, LICSW
5457 Horizon Dr Ne,
Fridley, MN 55421-1156
Ph: (218) 298-0689 | Tara Herrmann, LICSW
7101 York Ave S Ste 317,
Edina, MN 55435-4469
Ph: (763) 703-4215 |
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