Tara Herrmann, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Edina, Minnesota. She graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sondermind Pa and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any 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 | 6 Years |
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| Location | 7101 York Ave S Ste 317, Edina, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tara Herrmann graduated from medical school in 2020
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: I20240827003856
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sondermind Pa | 3577099621 | 65 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tara Herrmann allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20230310000874 |
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| Entity Name | Stacia Hanson Ma Lp Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871867549
PECOS PAC ID: 2769828706
Enrollment ID: O20240312003412 |
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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 |
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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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