IndividualActive
Alex Tarasar
NPI 1346962859 · Clinical Social Worker · Maplewood, MN
Provider details
- NPI number
- 1346962859
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- LW61567836 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1675 Beam Ave Ste 101
Maplewood, MN 55109-1478
Phone: (651) 309-0200
Approximate (ZIP-level) locationGet directions
Mailing address
19004 12th Ave Ne
Shoreline, WA 98155-2243
Registry dates
- Enumerated
- 2022-09-13
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.