Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Destinee Jane Tatro, LICSW

Individual provider Clinical Social Worker · NPI 1851164867

Destinee Jane Tatro, LICSW is a Clinical Social Worker in Saint Cloud, Minnesota. Qualified in 2021, 5 years ago. Practices with Central Minnesota Mental Health Center, a 23-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2023
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1321 13th St N
Saint Cloud, MN 56303-2613
Phone: (320) 252-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 30294 (MN)

Record details

NPI number1851164867
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 1, 2023
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Central Minnesota Mental Health Center — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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