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

Individual provider Clinical Social Worker · NPI 1811276819

Tamara Domazet, LICSW is a Clinical Social Worker in Burnsville, Minnesota. Qualified in 2006, 20 years ago. Practices with Cedar House Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
20
Licensed in
MN
In the registry since
2011
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

152 River Woods Ln
Burnsville, MN 55337-3322
Phone: (507) 334-1983
Fax: (507) 333-2307
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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 19564 (MN)

Record details

NPI number1811276819
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 8, 2011
Last updated in NPPESAugust 8, 2011

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Cedar House Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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