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

Mrs. Tara S Cantrell, LCSW

Individual provider Clinical Social Worker · NPI 1083567689

Mrs. Tara S Cantrell, LCSW is a Clinical Social Worker in Blue Ridge, Georgia. Qualified in 2008, 18 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
18
Licensed in
GA
In the registry since
2026
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1730 Macedonia Church Rd
Blue Ridge, GA 30513-3043
Phone: (706) 633-3123
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW009960 (GA)

Record details

NPI number1083567689
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 16, 2026
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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