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

Mrs. Tara M Prom, LICSW

Individual provider Clinical Social Worker · NPI 1205338969

Mrs. Tara M Prom, LICSW is a Clinical Social Worker in Saint Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

22 Wilson Ave NE Ste 110 PO Box 6069
Saint Cloud, MN 56302-6069
Phone: (320) 251-7700
Fax: (320) 251-8898
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 17338 (MN)
School Counselor Taxonomy 101YS0200X · Licence 429597 (MN)

Record details

NPI number1205338969
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 8, 2018
Last updated in NPPESMarch 8, 2018

Other providers in Saint Cloud