Mrs Tara Elizabeth Anderson, LCSW is a
Social Worker - Clinical based in La Crosse, Wisconsin. Mrs Tara Elizabeth Anderson is licensed to practice in Wisconsin (license number 8160-123) and her current practice location is
212 11th St S, La Crosse, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 392-9555.
NPI number for Mrs Tara Elizabeth Anderson is 1780960575 and her current mailing address is Po Box 1510, Eau Claire, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780960575.
Healthcare Provider's Profile
| Full Name | Mrs Tara Elizabeth Anderson |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 212 11th St S, La Crosse, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780960575
- Provider Enumeration Date: 10/25/2011
- Last Update Date: 05/22/2019
Medical Identifiers
Medical identifiers for Mrs Tara Elizabeth Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780960575 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 23328 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.012808 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8160-123 (Wisconsin) | 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. Mrs Tara Elizabeth Anderson 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 |
|---|
Mrs Tara Elizabeth Anderson, LCSW
Po Box 1510,
Eau Claire, WI 54702-1510
Ph: (608) 785-0940 | Mrs Tara Elizabeth Anderson, LCSW
212 11th St S,
La Crosse, WI 54601-4397
Ph: (608) 392-9555 |
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