IndividualActive
Tara Waldron, LICSW
NPI 1750723573 · Clinical Social Worker · Blaine, MN
Tara Waldron, LICSW is a Clinical Social Worker provider in Blaine, MN (NPI 1750723573).
Provider details
- NPI number
- 1750723573
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 20530 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11870 Ulysses St Ne
Ste 200
Blaine, MN 55434-4179
Phone: (763) 482-9598
Fax: (612) 235-6447
Street-level locationGet directions
Mailing address
745 36th Ave Ne
Minneapolis, MN 55418-1239
Registry dates
- Enumerated
- 2013-07-22
- Last updated
- 2013-07-22
Frequently asked questions
- What is Tara Waldron's NPI number?
- Tara Waldron's National Provider Identifier (NPI) is 1750723573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Waldron's specialty?
- Tara Waldron is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tara Waldron located?
- Tara Waldron's practice location on file with NPPES is 11870 Ulysses St Ne, Blaine, MN 55434-4179.
- What is Tara Waldron's phone number?
- The practice phone number listed in the NPPES registry for Tara Waldron is (763) 482-9598.
- Is Tara Waldron's NPI active?
- Yes — Tara Waldron's NPI (1750723573) is active in the NPPES registry as of the last update on 2013-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.