MRS. TARA M PROM (NPI# 1205338969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205338969 |
| Entity Type | Individual |
| Full Name | MRS. TARA M PROM |
| Other Name | TARA M SCHLOE |
| Credential | LICSW |
| Practice Address |
22 Wilson Ave Ne Suite 110 Po Box 6069 Saint Cloud MN 56302-6069 |
| Mailing Address |
1114 Somerset Blvd Saint Cloud MN 56303-0750 |
| Practice Telephone | 3202517700 |
| Practice Fax Number | 3202518898 |
| Mailing Telephone | 3202660241 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YS0200X |
Counselor Specialization: School |
429597 | MN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
17338 | MN | Behavioral Health & Social Service Providers |
| Street Address |
22 WILSON AVE NE SUITE 110 PO BOX 6069 |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56302-6069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265710875 | Diane Patricia Hiles | Counselor | 911 18th St. N., St. Cloud, MN 56302-2390 | 2011-07-31 |
| 1154698538 | Silvia Spinal Center PC | Chiropractor | 22 Wilson Ave Ne, Ste. 19, St. Cloud, MN 56302-6097 | 2011-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164661 | Pathways Therapy Services LLC | Occupational Therapist | 4417 13th St # 159, Saint Cloud, FL 34769-6724 | 2020-11-04 |
| 1750981841 | Senior Living Properties IIi, LLC | Assisted Living Facility | 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 | 2020-10-28 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1477152767 | Sara Eigenheer | Peer Specialist | 600 25th Ave S Ste 104, Saint Cloud, MN 56301-4820 | 2020-10-19 |
| 1568079374 | Midway Counseling Services LLC | Clinic/Center | 1410 9th Ave S Apt 306, Saint Cloud, MN 56301-5787 | 2020-09-25 |
| 1306452768 | Nicole Ashley Reda | Nurse Practitioner | 3107 13th St, Saint Cloud, FL 34769-5925 | 2020-09-21 |
| 1457967234 | Central Imaging LLC | Radiology | 3351 Roosevelt Rd, Saint Cloud, MN 56301-6270 | 2020-09-17 |
| 1760098610 | Jasmine Hepburn | Massage Therapist | 1521 Pine Marsh Loop, Saint Cloud, FL 34771-7407 | 2020-09-16 |
| 1003421199 | Nicole Carpenter | Physical Therapist | 2029 Hickory Tree Rd, Saint Cloud, FL 34772-8906 | 2020-09-15 |
| 1760097281 | Marcelino Cruz | Respiratory Therapist, Registered | 3620 Cape Ct, Saint Cloud, FL 34772-7820 | 2020-09-11 |
| Find all providers in SAINT CLOUD | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386143923 | Erin Lindsey Raymond | Social Worker | 1203 Florida Ave, Saint Cloud, FL 34769-3721 | 2018-02-09 |
| 1679029599 | Jeffrey Scott Fleischmann | Social Worker | 1900 Centracare Cir # 2475, Centracare Health Plaza, Saint Cloud, MN 56303-5000 | 2016-08-31 |
| 1710368998 | Ann Marie Rodriguez | Social Worker | 4707 Ashton Dr W, Saint Cloud, FL 34771-4879 | 2015-06-14 |
| 1376946806 | Charity Anne Hans | Social Worker | 511 3rd St Ne, Saint Cloud, MN 56304-0311 | 2014-09-29 |
| 1881844587 | John Allan Mazzitello | Social Worker | 1700 Hillcrest Rd, Saint Cloud, MN 56303-1415 | 2008-09-30 |
| 1336331479 | Jennifer Marie Keena | Social Worker | 1045 16th Ave S, Saint Cloud, MN 56301-5235 | 2007-08-13 |
| 1295812105 | Kenneth Longfellow Hanna II | Social Worker | 600 25th Ave S Ste 209, Saint Cloud, MN 56301-4866 | 2006-11-01 |
| 1093828204 | Julie Kay Theismann | Social Worker | 2025 Stearns Way Ste 111, Saint Cloud, MN 56303-1275 | 2006-08-15 |
| 1639181332 | Sharon Lee Lee | Social Worker | 2004 13th St N, Saint Cloud, MN 56303-2502 | 2006-08-12 |
| 1669494605 | Midwest Eap Solutions | Social Worker | 1010 W Saint Germain St Ste 580, Saint Cloud, MN 56301-4166 | 2006-07-25 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56302 |
Please comment or provide details below to improve the information on MRS. TARA M PROM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.